MEDICARE: NEIL CORRAL MACLANG

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	367H00000X	Anesthesiologist Assistant		GA

General Provider Information

NPI Number	:	1427904861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL CORRAL MACLANG

Provider Business Mailing Address
First Line	:	20 BLUEGRASS LN
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-8137
Country	:	US
Telephone Number	:	912-572-1616
Fax Number	:

Provider Business Practice Location Address
First Line	:	ADDRESS: 1364 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-712-2000
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ NEIL CORRAL MACLANG ” Practice Location

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