Individual
MR. EDGAR LEE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
8409 WEREWOLF RUN, MOODY A F B, GA 31699-1806
(229) 257-6130
Mailing address
8409 WEREWOLF RUN, MOODY A F B, GA 31699-1806
(229) 257-6130
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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