Provider Demographics
NPI:1952321630
Name:MCNEILL, NORA (MD)
Entity Type:Individual
Prefix:DR
First Name:NORA
Middle Name:
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:945 CUMBERLAND RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3254
Mailing Address - Country:US
Mailing Address - Phone:404-876-1392
Mailing Address - Fax:727-507-3618
Practice Address - Street 1:3949 S COBB DR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6342
Practice Address - Country:US
Practice Address - Phone:770-438-5222
Practice Address - Fax:770-434-5123
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA025224207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D30205Medicare UPIN