MR. CHARLES A NEAL IV (NPI# 1073708293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073708293 |
| Entity Type | Individual |
| Full Name | MR. CHARLES A NEAL IV |
| Credential | PA-C |
| Practice Address |
1701 Hardee Ave Sw Fort Mcpherson GA 30330-1062 |
| Practice Telephone | 4044640414 |
| Practice Fax Number | 4044640410 |
| Mailing Telephone | 4044640414 |
| Mailing Fax Number | 4044640410 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295925204 | Charles Wayne Neal | Chiropractor | 2440 Sandy Plains Rd Ste 200, Marietta, GA 30066-7217 | 2007-07-26 |
| 1023033453 | Charles B. Neal | Chiropractor | 2629 Creighton Rd Ste 1, Pensacola, FL 32504-7343 | 2006-07-13 |
| 1710304647 | Charles Andrew Neal | Counselor | 4455 E 12th Ave, Denver, CO 80220-2415 | 2014-03-28 |
| 1558420950 | Charles Douglas Neal | Dentist | 303 Riverway Place, Bedford, NH 03110-6744 | 2006-12-08 |
| 1235221417 | Charles Kenneth Neal | Anesthesiology | 16311 Ventura Blvd, Suite# 705, Encino, CA 91436-2124 | 2006-09-28 |
| 1144338617 | Charles Richard Neal Jr. | Pediatrics | 1319 Punahou St, Honolulu, HI 96826-1001 | 2006-08-26 |
| 1043239700 | Charles Rogers Neal | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-19 |
| 1164463816 | Charles Neal | Radiology | 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 | 2006-06-10 |
| 1598720294 | Charles L. Neal | Emergency Medicine | 8383 N Davis Hwy, Pensacola, FL 32514-6039 | 2006-04-18 |
| 1053380683 | Charles W Neal | Family Medicine | 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864-6293 | 2006-03-16 |
| Street Address |
1701 HARDEE AVE SW |
| City | FORT MCPHERSON |
| State | GA |
| Zip Code | 30330-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461646 | Gary Michael Sussman II | Psychologist | 1701 Hardee Ave Sw, Fort Mcpherson, GA 30330-1062 | 2005-10-21 |
| 1871783068 | Sharon Yvonne Mccreary | Licensed Practical Nurse | 1701 Hardee Ave Sw, Fort Mcpherson, GA 30330-1062 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619170198 | Eisenhower Army Medical Center | Clinic/Center | 1701 Hardee Avenue, S.w., Fort Mcpherson, GA 30330 | 2007-06-11 |
| 1114120821 | Sonja Diane Foots | Registered Nurse | 1701 Hardee Ave S.w., Fort Mcpherson, AL 30330 | 2007-06-08 |
| 1790988657 | Dianne Terrell Smith I | Registered Nurse | 1701 Hardee Ave. S W, Fort Mcpherson, GA 30330 | 2007-06-07 |
| 1639389042 | Ileana Rogers | Registered Nurse | 1701 Hardee Avenue S. W., Fort Mcpherson, GA 30330 | 2007-05-23 |
| 1205981974 | Lawrence Joel Army Health Clinic | Clinic/Center | 1701 Hardee Ave S. W., Fort Mcpherson, Atlanta, GA 30330 | 2007-01-24 |
| 1376696856 | Christine G. Casey | Internal Medicine | 1701 Hardee Ave Se, Lawrence Joel Health Clini, Ft Mcpherson, GA 30330 | 2007-01-19 |
| 1023180577 | Tony Serrano-padin | Family Medicine | 1701 Hardee Ave. Sw, Bldg 125, Fort Mcpherson - Army Health Clinic, Atlanta, GA 30330 | 2006-11-13 |
| 1083796072 | Brenda Gale Hubbard | Pharmacist | 1701 Hardee Ave, Ft Mcpherson, GA 30330 | 2006-10-19 |
| 1679774848 | Corrinne Anne Thames | Licensed Practical Nurse | 1701 Hardee Avenue, Fort Mcpherson, GA 30330 | 2007-05-29 |
| 1912108101 | A. Z. Hooker II | Licensed Practical Nurse | 1701 Hardee Avenue Sw, Ft.pherson, GA 30330 | 2007-05-29 |
| Find all providers in zip 30330 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
| 1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT MCPHERSON |
| Zip Code | 30330 |
Please comment or provide details below to improve the information on MR. CHARLES A NEAL IV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.