Male or Other

Timothy W. Mcneely M.D.

Anatomic Pathology & Clinical Pathology Physician in Dothan, AL(View on Map)

Full Name

Timothy W Mcneely M.D.

NPI Number

1184613127

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/20/2005

Specialties

(Taxonomies)

Code

207ZP0102X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

22735

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1410
4370 W MAIN ST

City

Dothan
Dothan

State

AL
AL

Postal Code

36302-1410
36305-1056

Country

US
US

Telephone Number

(334) 793-0010
(334) 793-5000

Identifiers

Identifier

481277597
051553162
51514294

Identifier State

AL
AL
AL

Identifier Issuer

TAX ID
Unknown
BLUE CROSS BLUE SHIELD AL

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/10/2011

Provider Address

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