Provider Demographics
NPI:1922363225
Name:MCNEELY, ELIZABETH MILLER (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MILLER
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 PEACHTREE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30434-1450
Mailing Address - Country:US
Mailing Address - Phone:478-625-9450
Mailing Address - Fax:478-625-9454
Practice Address - Street 1:802 PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:GA
Practice Address - Zip Code:30434-1450
Practice Address - Country:US
Practice Address - Phone:478-625-9450
Practice Address - Fax:478-625-9454
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist