Provider Demographics
NPI:1013041045
Name:NEVES, RABUN WILEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RABUN
Middle Name:WILEY
Last Name:NEVES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 S MILLEDGE AVE
Mailing Address - Street 2:SUITE F-1
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-1496
Mailing Address - Country:US
Mailing Address - Phone:706-543-7386
Mailing Address - Fax:706-543-8544
Practice Address - Street 1:1260 S MILLEDGE AVE
Practice Address - Street 2:SUITE F-1
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605
Practice Address - Country:US
Practice Address - Phone:706-543-7386
Practice Address - Fax:706-543-8544
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist