Individual
REGINA Z GUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5130 SOUTHPORT SUPPLY RD SE, STE 101, SOUTHPORT, NC 28461-9261
(910) 269-4053
(910) 363-4905
Mailing address
5130 SOUTHPORT SUPPLY RD SE, STE 101, SOUTHPORT, NC 28461-9261
(910) 269-4053
(910) 363-4905
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06084
NC
363AM0700X
Medical Physician Assistant
301
WV
Other
Enumeration date
11/02/2005
Last updated
03/07/2017
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