Individual
EVAN ANDREW PLUNKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-2266
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2024-00197
NC
208100000X
Physical Medicine & Rehabilitation Physician
4301507944
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2024-00197
NC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
4301507944
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730610346
—
NC
Enumeration date
03/24/2017
Last updated
03/27/2024
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