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Contact Information

CHARITA R MONTGOMERY BIVENS, PA-C
2901 BLUE RIDGE RD STE 100
RALEIGH, NC27607-6423
 Phone: 919-784-3018
 Fax: 919-784-1473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARITA R MONTGOMERY BIVENS · (Female)

NPI # 1760903215
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/05/2017
Last updated 08/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-07152
Hospital affiliation(s)
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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