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NPI Code Detail

MEDICARE: BETTY NEAL RN

MEDICARE: BETTY NEAL RN
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
1163W00000XRegistered NurseRN 044287GA

General Provider Information

NPI Number : 1396809216
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY NEAL RN
Provider Business Mailing Address
First Line : 3835 GLEN PARK DR
Second Line :
City : LITHONIA
State : GA
Zip : 30038-3693
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 WARREN ST SE
Second Line :
City : ATLANTA
State : GA
Zip : 30317-2267
Country : US
Telephone Number : 404-370-7360
Fax Number : 404-370-7379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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Directions to “ BETTY NEAL RN” Practice Location

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