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NPI Code Detail

MEDICARE: WILLIAM FRANK MCNEILL MD

MEDICARE: WILLIAM FRANK MCNEILL 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician030345GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1220022909-DEKALBOTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538164355
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM FRANK MCNEILL MD
Provider Business Mailing Address
First Line : PO BOX 1457
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-1457
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N DECATUR RD
Second Line : PATHOLOGY DEPT
City : DECATUR
State : GA
Zip : 30033-5918
Country : US
Telephone Number : 404-501-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 05/09/2012

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