NPI 1174086318

Jermaine McNeal

Practitioner Private Vehicle Jackson, MS

Practice location

Address: 1056 Autumn St, Jackson, MS 39212-2554
Phone: (601) 316-1346

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 801821494 (MS)

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Registry record

NPI: 1174086318
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2019
Record last updated: 12 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.