person
Regina Z Gum, PA-C
Medical Physician Assistant in Southport, North Carolina
NPI 1427049121

Regina Z Gum is a Medical Physician Assistant based in Southport, NC and is specialized in Medical. Regina Z Gum practices in Southport, NC and has the professional credentials of PA-C. The NPI Number for Regina Z Gum is 1427049121 and holds a License No. 301 (North Carolina).

The current practice location address for Regina Z Gum is 5130 Southport Supply Rd Se, Southport, NC and can be reached out via phone at 910-269-4053 and via fax at 910-363-4905.

Location: 5130 Southport Supply Rd Se, Southport, NC, 28461-9261
person
Provider Profile Details
NPI Number
1427049121
Provider Name
Regina Z Gum
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5130 Southport Supply Rd Se, Southport, NC, 28461-9261
Phone Number
910-269-4053
Fax Number
910-363-4905
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5130 Southport Supply Rd Se
City
State
Zip
28461-9261
Phone Number
910-269-4053
Fax Number
910-363-4905
person
Provider Business Mailing Address Details
Address
5130 Southport Supply Rd Se
City
State
Zip
28461-9261
Phone Number
910-269-4053
Fax Number
910-363-4905
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
301 (West Virginia)
Definition
Definition to come...
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