Individual
JACK EDWARD NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67 CREEKSIDE PARK CT, GREENVILLE, SC 29615-4810
(864) 242-4602
Mailing address
50 SCHENCK PKWY, ASHEVILLE, NC 28803-3499
(828) 681-1527
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2016-00931
NC
Other
Enumeration date
06/23/2009
Last updated
11/09/2016
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