Regina Z Gum is a Medical in Southport, North Carolina. Regina Z Gum practices all healthcare services and medical treatments related to Medical. The NPI Number for Regina Z Gum is 1427049121. The last update date is 2017-03-07.
Regina Z Gum's current location address is 5130 Southport Supply Rd Se, Southport, North Carolina. You can contact this provider via phone number 9102694053 and fax number 9103634905. The mailing address for Regina Z Gum is 5130 Southport Supply Rd Se, Southport, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina Z Gum |
|---|---|
| Address | 5130 Southport Supply Rd Se, Southport, North Carolina |
| Phone Number | 9102694053 |
| Fax Number | 9103634905 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1427049121 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2017-03-07 |
Provider Mailing Address Detail
| Address | 5130 Southport Supply Rd Se |
|---|---|
| City | Southport |
| State | North Carolina (NC) |
| Post Code | 284619261 |
| Phone Number | 9102694053 |
| Fax Number | 9103634905 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 301 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the Regina Z Gum's 1427049121?
The Regina Z Gum's NPI (National Provider Identifier) Number is 1427049121. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Regina Z Gum's physical address?
The Regina Z Gum is physically located at 5130 Southport Supply Rd Se, in the city of Southport, NC, with the postal code 284619261.
What is Regina Z Gum's area of expertise and its corresponding taxonomy classification?
The Regina Z Gum's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When did Regina Z Gum receive its 1427049121 assignment?
The Regina Z Gum was assigned its 1427049121 on 2005-11-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Regina Z Gum last refreshed?
The information related to the Regina Z Gum, including its address, specialty, and other relevant details, was last updated on 2017-03-07.