Provider Demographics
NPI:1043390511
Name:NEAL-PERRY, GENEVIEVE S (MD, PHD)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:S
Last Name:NEAL-PERRY
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 OLD CLINIC BUILDING CB#7570
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7570
Mailing Address - Country:US
Mailing Address - Phone:919-966-9600
Mailing Address - Fax:919-966-6049
Practice Address - Street 1:UNC FERTILITY
Practice Address - Street 2:7920 ACC BLVD, UNIT 300
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-6008
Practice Address - Country:US
Practice Address - Phone:919-908-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-00230207VE0102X
WAMD60511843207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1043390511Medicaid
NY02356985Medicaid
NYH77271Medicare UPIN