Dr. John C. Neely M.D.
Emergency Medicine Physician in Many, LA(View on Map)
Full Name
Dr. John Champ Neely M.D.
NPI Number
1528292471
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/06/2009
Specialties
(Taxonomies)Code
207P00000X
207N00000X
207R00000X
Primary Taxonomy
Yes
No
No
Licenses
State
California
Louisiana
New Mexico
Tennessee
License Number
A149450
MD.205104
MD2022-1046
51688
Contact
Information
Purpose
Mailing
Location
Address
338 VIA VERA CRUZ STE 100
240 HIGHLAND DR
City
San Marcos
Many
State
CA
LA
Postal Code
92078-2645
71449-3718
Country
US
US
Telephone Number
(904) 643-4353
(318) 256-5691
Identifiers
Identifier
2157621
Identifier State
AR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/22/2022
Provider Address
Other Emergency Medicine Physicians in Many, Louisiana:
Atwood Rice M.D.
Many, LASpecialties: Emergency Medicine Physician (Primary)Legal Medicine (M.D./D.O.) Physician