Evans, Regina Rae
Evans, Regina Rae is an individual health care provider with primary practice located at 102 New Edition Ct , Cary NC 27511-4449. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Evans, Regina Rae can be contacted via phone (919) 375-1514.Contact Information
Primary practice address
102 New Edition Ct
Cary NC 27511-4449
Phone: (919) 375-1514
Fax: (833) 314-0392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 21761 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21761 | South Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 21761 | South Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 200301110 | North Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 200301110 | North Carolina |
Profile Details
| NPI number | 1134113871 |
|---|---|
| LBN Legal business name | Evans, Regina Rae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Feb 13th, 2023 - about 3 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 | 1134113871 | NPPES |
| South Carolina | MEDICAID | GP6613 | |
| South Carolina | MEDICAID | GP7038 | |
| South Carolina | Other | P00106029 | |
| South Carolina | Other | 208618D | |
| South Carolina | Other | D4406 |
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