Healthcare Provider Details

I. General information

NPI: 1801818018
Provider Name (Legal Business Name): JAMES NEELY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 10/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE EMORY UNIVERSITY HOSPITAL - HOSPITAL MEDICINE DEPT
ATLANTA GA
30322-1059
US

IV. Provider business mailing address

1364 CLIFTON RD NE EMORY UNIVERSITY HOSPITAL - HOSPITAL MEDICINE DEPT
ATLANTA GA
30322-1059
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-7869
  • Fax: 404-778-5495
Mailing address:
  • Phone: 404-686-7869
  • Fax: 404-778-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number049427
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: