MEDICARE: GINA RAE SINGLETON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207NS0135X	Procedural Dermatology Physician	9900350	NC
2	207N00000X	Dermatology Physician	9900350	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1195T	OTHER	BLUE CROSS BLUE SHIELD
3	561473220	OTHER	ALL OTHER INSURANCE

General Provider Information

NPI Number	:	1033104369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA RAE SINGLETON MD

Provider Business Mailing Address
First Line	:	PO BOX 1921
Second Line	:
City	:	CLYDE
State	:	NC
Zip	:	28721-1900
Country	:	US
Telephone Number	:	828-565-0560
Fax Number	:	828-565-0561

Provider Business Practice Location Address
First Line	:	600 ALLIANCE CT
Second Line	:	SUITE 200
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-5000
Country	:	US
Telephone Number	:	828-565-0560
Fax Number	:	828-565-0561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	01/27/2025

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Directions to “ GINA RAE SINGLETON MD” Practice Location

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