Provider Demographics
NPI:1528507266
Name:UNGER, REBECCA DIANE (PA-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:DIANE
Last Name:UNGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:DIANE
Other - Last Name:UNGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 71807
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23255-1807
Mailing Address - Country:US
Mailing Address - Phone:877-794-2284
Mailing Address - Fax:804-612-5201
Practice Address - Street 1:2222 E NC HIGHWAY 54 STE 200
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5271
Practice Address - Country:US
Practice Address - Phone:919-405-2040
Practice Address - Fax:919-747-4195
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-07071363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant