MEDICARE: JOHN W. NEAL 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
1	207Q00000X	Family Medicine Physician	22313	NC

General Provider Information

NPI Number	:	1992784359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN W. NEAL MD

Provider Business Mailing Address
First Line	:	519 E LAUCHWOOD DR
Second Line	:
City	:	LAURINBURG
State	:	NC
Zip	:	28352-5502
Country	:	US
Telephone Number	:	910-276-1150
Fax Number	:	910-277-1966

Provider Business Practice Location Address
First Line	:	519 LAUCHWOOD DRIVE
Second Line	:
City	:	LAURINBURG
State	:	NC
Zip	:	28352-5502
Country	:	US
Telephone Number	:	910-276-1150
Fax Number	:	910-277-1966

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

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	03/21/2008

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