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Individual
EVA AGOCS
Active
Individual
EVA AGOCS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9700834
NC
208M00000X
Hospitalist Physician
Primary
9700834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052Q
BC BS NC
NC
01
—
110179640
RR MEDICARE
NC
05
—
891052Q
—
NC
05
—
N00834
—
SC
01
—
P00399292
RR MEDICARE
NC
Enumeration date
06/24/2006
Last updated
10/25/2020
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