Individual
EMILY BECKER PEVTSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
548 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-3400
(910) 484-3404
Mailing address
548 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-3400
(910) 484-3404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07412
NC
363A00000X
Physician Assistant
085.005271
IL
Other
Enumeration date
10/09/2014
Last updated
07/21/2022
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