Provider Demographics
NPI:1275421240
Name:NEUFVILLE, OLIVE-MAE
Entity type:Individual
Prefix:
First Name:OLIVE-MAE
Middle Name:
Last Name:NEUFVILLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3278 TRINITY MILL CIR
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-1038
Mailing Address - Country:US
Mailing Address - Phone:770-231-7923
Mailing Address - Fax:
Practice Address - Street 1:3278 TRINITY MILL CIR
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1038
Practice Address - Country:US
Practice Address - Phone:770-231-7923
Practice Address - Fax:770-231-7923
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information