Individual
DR. AVERY A BEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6781 PARKER FARM DR STE 300, WILMINGTON, NC 28405-3161
(910) 763-1555
(910) 762-4726
Mailing address
6781 PARKER FARM DR STE 300, WILMINGTON, NC 28405-3161
(910) 763-1555
(910) 762-4726
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200501773
NC
207N00000X
Dermatology Physician
MD 60313749
WA
207N00000X
Dermatology Physician
MD60313749
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141R1
BCBS FEDERAL
NC
05
—
1588643613
—
NC
05
—
2029984
—
WA
01
—
2050685
MEDICARE TYPE UNSPECIFIED
NC
01
—
P00293029
RR MEDICARE
NC
Enumeration date
01/17/2006
Last updated
02/16/2022
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