Donald C Neal JR.
Oral and Maxillofacial Pathology
1587 Vernon Rd
LaGrange
, Georgia 30240-4146
Donald C Neal JR.
Oral and Maxillofacial Pathology
1587 Vernon Rd
LaGrange
, Georgia 30240-4146
(706) 883-7670
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Donald C Neal JR.
- 1587 Vernon Rd
- Lagrange, GA
- Zip : 30240-4146
- Fax : (706) 883-7670
- Phone : (706) 884-2655
Second Address
- Donald C Neal JR.
- 1587 Vernon Rd
- Lagrange, GA
- Zip : 30240-4146
- Fax : (706) 883-7670
- Phone : (706) 884-2655
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 010231 | GA |
National Provider Identifier
| NPI | 1821103086 |
|---|---|
| Provider Name | Donald C Neal JR. |
| First Address | Lagrange, GA 30240-4146 |
| Second Address | Lagrange, GA 30240-4146 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000399605A | (05) | GA |
| U16830 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.