Neville, Leverett C
Neville, Leverett C is an individual health care provider with primary practice located at 1104 Martha Berry Blvd Ne , Rome GA 30165-1612. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Neville, Leverett C can be contacted via phone (706) 291-2077.Contact Information
Primary practice address
1104 Martha Berry Blvd Ne
Rome GA 30165-1612
Phone: (706) 291-2077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 062145 | Georgia |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 062145 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 062145 | Georgia |
Profile Details
| NPI number | 1659552792 |
|---|---|
| LBN Legal business name | Neville, Leverett C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Aug 7th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659552792 | NPPES |
| Georgia | Other | 581088313A | MEDICARE GROUP PROVIDER # |
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