Healthcare Provider Details

I. General information

NPI: 1962840132
Provider Name (Legal Business Name): REBECCA PORTER DAWSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

IV. Provider business mailing address

16 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

V. Phone/Fax

Practice location:
  • Phone: 828-274-4880
  • Fax: 828-274-6868
Mailing address:
  • Phone: 828-274-4880
  • Fax: 828-274-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-04285
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: