Provider Demographics
NPI:1982049409
Name:NASH, REBEKAH POTTS (MD, PHD)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:POTTS
Last Name:NASH
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:GRACE
Other - Last Name:POTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:10625 NEUROSCIENCES HOSP CLB # 7160 101 MANNING DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:984-974-5217
Mailing Address - Fax:984-974-9646
Practice Address - Street 1:10625 NEUROSCIENCES HOSP CLB # 7160
Practice Address - Street 2:101 MANNING DRIVE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-966-4764
Practice Address - Fax:919-966-9646
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-018042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry