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
Fax: (833) 314-0392
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
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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