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NPI Code Detail

MEDICARE: MRS. GABRIELLE LOGAN NEAL-BARNEY MMS, PA-C

MEDICARE:  MRS. GABRIELLE LOGAN NEAL-BARNEY  MMS, PA-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
1363AM0700XMedical Physician Assistant0010-01444NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10010-01444OTHERNCNORTH CAROLINA MEDICAL LICENSE NUMBER

General Provider Information

NPI Number : 1932387842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GABRIELLE LOGAN NEAL-BARNEY MMS, PA-C
Provider Business Mailing Address
First Line : 5027 WRIGHTSVILLE AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-7046
Country : US
Telephone Number : 910-599-5143
Fax Number : 910-442-8770
Provider Business Practice Location Address
First Line : 5027 WRIGHTSVILLE AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-7046
Country : US
Telephone Number : 888-815-5502
Fax Number : 910-442-8770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2008
Last Update Date : 06/21/2022

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