Healthcare Provider Details

I. General information

NPI: 1043390511
Provider Name (Legal Business Name): GENEVIEVE S NEAL-PERRY MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 04/30/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNC FERTILITY 7920 ACC BLVD, UNIT 300
RALEIGH NC
27617-6008
US

IV. Provider business mailing address

3009 OLD CLINIC BUILDING CB#7570
CHAPEL HILL NC
27599-7570
US

V. Phone/Fax

Practice location:
  • Phone: 919-908-0000
  • Fax:
Mailing address:
  • Phone: 919-966-9600
  • Fax: 919-966-6049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number2020-00230
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD60511843
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: