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Individual

DR. JEFFREY GARDNER NEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
176 VALLEY ST W, ABINGDON, VA 24210-2836
(276) 628-9547
(276) 628-8221
Mailing address
P.O. BOX 1328, ABINGDON EAR, NOSE & THROAT ASSOCIATES, P.C., ABINGDON, VA 29403-6645
(276) 628-9547
(276) 628-8221

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
LL25434
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942384433
VA
01
303202
ANTHEM
VA
Enumeration date
10/24/2006
Last updated
02/19/2010
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