MEDICARE: GENEVIEVE S NEAL-PERRY MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	2020-00230	NC
2	207VE0102X	Reproductive Endocrinology Physician	MD60511843	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043390511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIEVE S NEAL-PERRY MD, PHD

Provider Business Mailing Address
First Line	:	3009 OLD CLINIC BUILDING CB#7570
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7570
Country	:	US
Telephone Number	:	919-966-9600
Fax Number	:	919-966-6049

Provider Business Practice Location Address
First Line	:	UNC FERTILITY
Second Line	:	7920 ACC BLVD, UNIT 300
City	:	RALEIGH
State	:	NC
Zip	:	27617-6008
Country	:	US
Telephone Number	:	919-908-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	04/30/2021

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