Provider Demographics
NPI: | 1225078025 |
---|---|
Name: | NEAVE, VICTORIA CD (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | VICTORIA |
Middle Name: | CD |
Last Name: | NEAVE |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 2568 |
Mailing Address - Street 2: | |
Mailing Address - City: | HIGH POINT |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27261 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 336-906-6314 |
Mailing Address - Fax: | 336-883-9728 |
Practice Address - Street 1: | 404 WESTWOOD AVE |
Practice Address - Street 2: | SUITE 201 |
Practice Address - City: | HIGH POINT |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27262-4315 |
Practice Address - Country: | US |
Practice Address - Phone: | 336-906-6314 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-06-08 |
Last Update Date: | 2023-06-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 30220 | 207T00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
190526 | Other | MEDCOST | |
NC | 8961974 | Medicaid | |
785 | Other | PARTNERS | |
61974 | Other | BCBS | |
0277850 | Other | CIGNA | |
0600107 | Other | UNITED HEALTHCARE | |
1424289 | Other | AETNA | |
61974 | Other | BCBS | |
0600107 | Other | UNITED HEALTHCARE |