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NPI Code Detail

MEDICARE: ELENA MCNEILL MD

MEDICARE: ELENA MCNEILL MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician2011-01406NC

General Provider Information

NPI Number : 1538317227
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA MCNEILL MD
Provider Business Mailing Address
First Line : 200 MEMORIAL DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6332
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 317 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6379
Country : US
Telephone Number : 910-577-2286
Fax Number : 910-577-2242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2008
Last Update Date : 10/02/2025

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