Provider Demographics
NPI:1083372049
Name:SEBHATU, RAHWA T (PA-C)
Entity Type:Individual
Prefix:
First Name:RAHWA
Middle Name:T
Last Name:SEBHATU
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2501 BATTERHAYES RD APT 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2452
Mailing Address - Country:US
Mailing Address - Phone:510-302-7625
Mailing Address - Fax:
Practice Address - Street 1:6750 OVERHILLS RD
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-8872
Practice Address - Country:US
Practice Address - Phone:910-436-2900
Practice Address - Fax:910-436-0588
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-11460363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical