MEDICARE: MRS. MARGARET ANNE EVERS PA-C

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	363A00000X	Physician Assistant	001004309	NC

General Provider Information

NPI Number	:	1932548203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET ANNE EVERS PA-C

Provider Business Mailing Address
First Line	:	1616 EVANS RD
Second Line	:	SUITE 204
City	:	CARY
State	:	NC
Zip	:	27513-9653
Country	:	US
Telephone Number	:	919-378-9761
Fax Number	:	919-234-0494

Provider Business Practice Location Address
First Line	:	1616 EVANS RD
Second Line	:	SUITE 204
City	:	CARY
State	:	NC
Zip	:	27513-9653
Country	:	US
Telephone Number	:	919-378-9761
Fax Number	:	919-234-0494

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

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	04/03/2017

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