Carol Ann Neal

Individual provider Active NPI Pediatric Registered Nurse · Wrens, GA

NPI 1891661187 · NPPES record last updated Oct 14, 2025

Key facts

NPI
1891661187
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Registered Nurse 163WP0200X
License
RN117094 (GA)
Practice address
106 Trafalgar Dr
Wrens, GA 30833-4059
Phone
(706) 466-3443
NPI assigned
Oct 14, 2025
Sex
Female
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
RN117094GAMDPediatric Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN117094 GA Yes

Addresses

Primary practice location

106 Trafalgar Dr
Wrens, GA 30833-4059

Mailing address

106 Trafalgar Dr
Wrens, GA 30833-4059
Phone (706) 466-3443

Other providers in Wrens, GA

All providers in Wrens, GA · Pediatric Registered Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.