Individual
JENNIFER ANGELA MCNEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
818 SAINT SEBASTIAN WAY STE 308, AUGUSTA, GA 30901-2653
(706) 724-4400
(706) 724-6003
Mailing address
PO BOX 925, AUGUSTA, GA 30903-0925
(706) 288-3377
(706) 288-3378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01058654A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
076642
GA
207RC0000X
Cardiovascular Disease Physician
P3930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319122301
—
TX
01
—
8DR447
BCBSTX
TN
Enumeration date
11/22/2006
Last updated
12/03/2018
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