Provider Demographics
NPI:1477931301
Name:MCNEELY, JAMES C JR (PA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:MCNEELY
Suffix:JR
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 HIGHWAY 280 STE 210
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5186
Mailing Address - Country:US
Mailing Address - Phone:205-971-8000
Mailing Address - Fax:
Practice Address - Street 1:4600 HIGHWAY 280 STE 210
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5186
Practice Address - Country:US
Practice Address - Phone:205-971-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-06086363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical