Individual
JASON EDWARD GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4208 MURDOCKSVILLE RD, WEST END, NC 27376-8871
(910) 295-7070
(910) 295-7447
Mailing address
4208 MURDOCKSVILLE RD, WEST END, NC 27376-8871
(910) 295-7070
(910) 295-7447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9901414
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12586
BCBS NC
—
01
—
200039797
RAILROAD MEDICARE
—
05
—
8912586
—
NC
Enumeration date
07/31/2006
Last updated
04/07/2016
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