Doctor Name: | DR. MATTHEW T NEAL |
NPI Number: | 1023270386 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | AN3187956-V009 |
Business Practice Address: | 840 Stevens Creek Rd Augusta, GA - 309079251 |
Business Phone Number: | 7067226957 |
Business Fax Number: | 7067227454 |
Mailing Address: | Po Box 1705, AUGUSTA |
State: | GA |
Postal Code: | 309031705 |
Phone Number: | 7067747263 |
Fax Number: | 7067747230 |
NPI Enumeration Date: | 06/27/2008 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | AN3187956-V009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |