Provider Demographics
NPI:1326156944
Name:MCNEELY, RHONDA ANNETTE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:ANNETTE
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
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Mailing Address - Street 1:2209 S STERLING ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4091
Mailing Address - Country:US
Mailing Address - Phone:828-580-4661
Mailing Address - Fax:828-580-4698
Practice Address - Street 1:2209 S STERLING ST
Practice Address - Street 2:SUITE 400
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4092
Practice Address - Country:US
Practice Address - Phone:828-580-4661
Practice Address - Fax:828-580-4698
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC121106163W00000X
NC264367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2593563OtherPALMETTO PTAN
NC7002214Medicaid