MEDICARE: SARA LYNN NEAL 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
1	207QS0010X	Sports Medicine (Family Medicine) Physician	9600385	NC
2	207Q00000X	Family Medicine Physician	9600385	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	74518	OTHER	NC	MEDCOST
3	20667	OTHER	NC	PARTNERS
4	5023579	OTHER		AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	61932	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1609850114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA LYNN NEAL MD

Provider Business Mailing Address
First Line	:	1125 N CHURCH ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1007
Country	:	US
Telephone Number	:	336-832-8035
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 N CHURCH ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1007
Country	:	US
Telephone Number	:	336-832-8035
Fax Number	:	336-832-8094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	09/30/2021

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Directions to “ SARA LYNN NEAL MD” Practice Location

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