Charles A Neal IV, PA-C
Physician Assistant, Surgical in Fort McPherson, GA. Individual provider (NPI-1).
NPI number1073708293
StatusActive
Last updated in NPPESSep 12, 2007
Details
- NPI
- 1073708293
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles A Neal IV
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2007
- Last updated
- Sep 12, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
1701 Hardee Ave SwFort McPherson, GA 30330-1062
Phone 404-464-0414 · Fax 404-464-0410
Mailing address
1701 Hardee Ave SwFort McPherson, GA 30330-1062
Phone 404-464-0414 · Fax 404-464-0410
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