Provider Demographics
NPI:1962897587
Name:NEELEY, RENALDO O'NEAL (MD)
Entity type:Individual
Prefix:DR
First Name:RENALDO
Middle Name:O'NEAL
Last Name:NEELEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1774 METROMEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3861
Mailing Address - Country:US
Mailing Address - Phone:910-568-3903
Mailing Address - Fax:910-568-3908
Practice Address - Street 1:1774 METROMEDICAL DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3861
Practice Address - Country:US
Practice Address - Phone:910-568-3903
Practice Address - Fax:910-568-3908
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC202000737207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease