Provider Demographics
NPI:1962840132
Name:DAWSON, REBECCA PORTER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:PORTER
Last Name:DAWSON
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:3731 NW CARY PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8436
Mailing Address - Country:US
Mailing Address - Phone:919-443-2557
Mailing Address - Fax:919-869-1869
Practice Address - Street 1:2018 NEW GARDEN RD STE C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2486
Practice Address - Country:US
Practice Address - Phone:336-443-9300
Practice Address - Fax:919-869-1869
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-04285363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant