Anderson, Mary Elisabeth Neal

Anderson, Mary Elisabeth Neal is an individual health care provider with primary practice located at 2863 Highway 45 Byp , Jackson TN 38305-3618. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Anderson, Mary Elisabeth Neal can be contacted via phone (731) 664-1375.

Contact Information

Primary practice address
2863 Highway 45 Byp Jackson TN 38305-3618
Phone: (731) 664-1375
Fax: (731) 660-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28500 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28500 Tennessee

Profile Details

NPI number 1386639136
LBN Legal business name Anderson, Mary Elisabeth Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Feb 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386639136 NPPES
Tennessee MEDICAID 3805899

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