Individual
EDWARD TRENT MCNEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 EXECUTIVE PARK LANE, CLINTON, TN 37716
(865) 494-9241
(865) 494-2522
Mailing address
110 EXECUTIVE PARK LANE, CLINTON, TN 37716
(865) 494-9241
(865) 494-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000011390
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080097218
RAILROAD MEDICARE
TN
01
—
2001058
BLUE CROSS
TN
05
—
3181999
—
TN
Enumeration date
10/13/2005
Last updated
05/24/2021
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