Individual
MR. JIMMY NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 W MINSTER DR, BAXTER, TN 38544-3560
(931) 252-1831
Mailing address
204 W MINSTER DR, BAXTER, TN 38544-3560
(931) 252-1831
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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