Provider Demographics
NPI:1639226970
Name:SEBAS, PATRICIA ALICE (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ALICE
Last Name:SEBAS
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 1:106 HYANNIS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8327
Mailing Address - Country:US
Mailing Address - Phone:919-249-4700
Mailing Address - Fax:919-249-4701
Practice Address - Street 1:106 HYANNIS DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-8327
Practice Address - Country:US
Practice Address - Phone:919-249-4700
Practice Address - Fax:919-249-4701
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9300799208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF88254Medicare UPIN