person
John Neel Range, MD
General Practice Physician in Oakwood, Georgia
NPI 1760452783

John Neel Range is a General Practice Physician based in Gainesville, GA. John Neel Range practices in Oakwood, GA and has the professional credentials of MD. The NPI Number for John Neel Range is 1760452783 and holds a License No. 021274 (Georgia).

The current practice location address for John Neel Range is 4222 Fairbanks Dr, Oakwood, GA and can be reached out via phone at 770-534-6053 and via fax at 770-534-6695.

Location: 4222 Fairbanks Dr, Oakwood, GA, 30503-0658
person
Provider Profile Details
NPI Number
1760452783
Provider Name
John Neel Range
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4222 Fairbanks Dr, Oakwood, GA, 30503-0658
Phone Number
770-534-6053
Fax Number
770-534-6695
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10045373 01 GA AMERIGROUP
6679698 01 GA CIGNA
80075271 01 GA RR MEDICARE-GRP # CC4177
341308 01 GA WELLCARE
4105859 01 GA AETNA PPO
52046825 01 GA BCBS
000252755C 05 GA
0100290 01 GA UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
4222 Fairbanks Dr
City
State
Zip
30566-2811
Phone Number
770-534-6053
Fax Number
770-534-6695
person
Provider Business Mailing Address Details
Address
4222 Fairbanks Dr
City
State
Zip
30566-2811
Phone Number
770-534-6053
Fax Number
770-534-6695
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
021274 (Georgia)
Definition
Definition to come...
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