Provider Demographics
NPI:1033104369
Name:SINGLETON, GINA RAE (MD)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:RAE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1921
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-1900
Mailing Address - Country:US
Mailing Address - Phone:828-565-0560
Mailing Address - Fax:828-565-0561
Practice Address - Street 1:600 ALLIANCE CT
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-5000
Practice Address - Country:US
Practice Address - Phone:828-565-0560
Practice Address - Fax:828-565-0561
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900350207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891195TMedicaid
561473220OtherALL OTHER INSURANCE
1195TOtherBLUE CROSS BLUE SHIELD
NC891195TMedicaid
1195TOtherBLUE CROSS BLUE SHIELD