Neaville Internal Medicine Pllc | |
3000 Jennings Ln Ste H Batesville AR 72501-7255 | |
(870) 307-4339 | |
Not Available |
Full Name | Neaville Internal Medicine Pllc |
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Speciality | Internal Medicine |
Location | 3000 Jennings Ln Ste H, Batesville, Arkansas |
Authorized Official Name and Position | Gregory Wayne Neaville (OWNER AND PHYSICIAN) |
Authorized Official Contact | 8703074339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neaville Internal Medicine Pllc 3000 Jennings Ln Ste H Batesville AR 72501-7255 Ph: (870) 307-4339 | Neaville Internal Medicine Pllc 3000 Jennings Ln Ste H Batesville AR 72501-7255 Ph: (870) 307-4339 |
NPI Number | 1578176020 |
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Provider Enumeration Date | 08/25/2020 |
Last Update Date | 07/12/2022 |
Medicare PECOS PAC ID | 0749609154 |
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Medicare Enrollment ID | O20201005002430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578176020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Jenny L Mitchell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851058804 PECOS PAC ID: 9537551882 Enrollment ID: I20220118000630 |
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