Provider Demographics
NPI:1437547577
Name:MCNEILL, FRANCES WIGGINS (MT)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:WIGGINS
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:MT
Other - Prefix:MISS
Other - First Name:FRANCES
Other - Middle Name:BARRETT
Other - Last Name:WIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 BOB WHITE LN
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-9450
Mailing Address - Country:US
Mailing Address - Phone:601-946-3769
Mailing Address - Fax:
Practice Address - Street 1:1500 E WOODROW WILSON AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5116
Practice Address - Country:US
Practice Address - Phone:601-362-4471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist