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NPI Code Detail

MEDICARE: VIRGINIA MCNEILL NP-C

MEDICARE: VIRGINIA MCNEILL NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner1-120270AL

General Provider Information

NPI Number : 1194388587
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA MCNEILL NP-C
Provider Business Mailing Address
First Line : 620 FAIR OAKS LN
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35406-1768
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 JACK WARNER PKWY
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35401-1090
Country : US
Telephone Number : 205-523-5618
Fax Number : 205-462-7125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2019
Last Update Date : 10/31/2022

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Directions to “ VIRGINIA MCNEILL NP-C” Practice Location

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