Individual
DIANE GEVINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 907-2120
Mailing address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010470
NY
Other
Enumeration date
11/01/2006
Last updated
10/22/2012
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