Provider Demographics
NPI:1295426971
Name:NEAL, DARWIN MARCUS
Entity type:Individual
Prefix:
First Name:DARWIN
Middle Name:MARCUS
Last Name:NEAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 BRIDLE RIDGE LN APT 208
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-2787
Mailing Address - Country:US
Mailing Address - Phone:910-689-6375
Mailing Address - Fax:
Practice Address - Street 1:540 BRIDLE RIDGE LN APT 208
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-2787
Practice Address - Country:US
Practice Address - Phone:910-689-6375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi