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NPI Code Detail

MEDICARE: DR. DEANNA SIMMONS MCNEIL MD

MEDICARE: DR. DEANNA SIMMONS MCNEIL 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
12084P0800XPsychiatry Physician16439SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144237553
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEANNA SIMMONS MCNEIL MD
Provider Business Mailing Address
First Line : 413 BRIDGECREEK DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-8904
Country : US
Telephone Number : 803-788-1430
Fax Number :
Provider Business Practice Location Address
First Line : 2015 MARION ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2113
Country : US
Telephone Number : 803-898-0123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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