NPI 1235687252

Teddra a McNeill

Practitioner Contractor Fayetteville, GA

Practice location

Address: 200 Meadowbrook CT APT a, Fayetteville, GA 30215-8285
Phone: (678) 358-1173
Fax: (678) 348-7176
Mailing address: PO Box 143513, Fayetteville, GA 30214-6533

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Georgia →

Registry record

NPI: 1235687252
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2016
Record last updated: 19 Sep 2016

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.