Individual
EVA AGOCS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4656
(704) 384-5416
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9700834
NC
208M00000X
Hospitalist Physician
Primary
9700834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052Q
BC BS NC
NC
01
—
110179640
RR MEDICARE
NC
05
—
891052Q
—
NC
05
—
N00834
—
SC
01
—
P00399292
RR MEDICARE
NC
Enumeration date
06/24/2006
Last updated
10/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us