Provider Demographics
NPI:1295789162
Name:MCNEIL, STEPHEN L (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:284 EXECUTIVE PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1831
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1650 HIGHWAY 18 SOUTH
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NC
Practice Address - Zip Code:28675-8478
Practice Address - Country:US
Practice Address - Phone:336-372-4095
Practice Address - Fax:336-372-2722
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC306812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2106163OtherCIGNA PROVIDER ID #
NC11810OtherUNITED BEHAVIORAL HEALTH
NCC1541OtherMEDCOST PROVIDER ID#
NC132UCOtherBCBS OF NC PROVIDER ID#
NC89132UCMedicaid
NCN/AOtherMHNET
NCN/AOtherCAROLINA BEHAVIORAL HEALT
NC132UCOtherBCBS OF NC PROVIDER ID#
NCN/AOtherCAROLINA BEHAVIORAL HEALT