Doctor Name: | NEIL FRANCES MOONEY |
NPI Number: | 1659439172 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101017281 |
Business Practice Address: | 2320 Volunteer Pkwy Bristol, TN - 37620 |
Business Phone Number: | 4239436064 |
Business Fax Number: | |
Mailing Address: | 54 Compton Rd, BRISTOL |
State: | TN |
Postal Code: | 37620 |
Phone Number: | 4236527408 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101017281 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |