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Contact Information

K MARIO MCNEILL, CRT, MMBT
2135 VALLEYGATE DR
SUITE 101
FAYETTEVILLE, NC28304-3750
 Phone: 910-323-2247
 Fax: 910-486-8064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Electroneurodiagnostic

246ZE0600X
 

EEG

2472E0500X 75 Slide Preparation Facility
 

EEG

246ZE0500X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for K MARIO MCNEILL · (Male)

NPI Number 1952535122
Status Active
Credentials CRT, MMBT
Entity Individual
Enumeration date 05/04/2009
Last updated 04/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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