Randy J Neely

Individual provider Active NPI Certified Respiratory Therapist · Quitman, MS

NPI 1124870449 · NPPES record last updated Apr 2, 2024

Key facts

NPI
1124870449
Entity type
Individual (NPI type 1)
Primary specialty
Certified Respiratory Therapist 227800000X
License
RCP-5261 (MS)
Practice address
4473 County Road 140
Quitman, MS 39355-9611
Phone
(601) 527-1238
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RCP-5261MSMDCertified Respiratory Therapist
RCP5261MSMDCertified Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X RCP5261 MS
Certified Respiratory Therapist 227800000X RCP-5261 MS Yes

Addresses

Primary practice location

4473 County Road 140
Quitman, MS 39355-9611

Mailing address

4473 County Road 140
Quitman, MS 39355-9611
Phone (601) 527-1238

Other providers in Quitman, MS

All providers in Quitman, MS · Certified Respiratory Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.