Charles R. Beasley M.D.

NPI 1043217656 - Internal Medicine - 207R00000X

NPI Details
NPI 1043217656
Gender Male
Enumeration Date 06/29/2005
Last Updated 07/07/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
395 W 27TH ST
LUMBERTON NC, 28358-3018, US
Phone (910) 739-7551
Fax (910) 738-3764
Business Location
2600 N ELM ST
LUMBERTON NC, 28358-3011, US
Phone (910) 272-3051
Fax (910) 738-3764
Toxanomy
Taxonomy Code 207R00000X
License State North Carolina
License Number 28945
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According to our database, Charles R. Beasley M.D. NPI is 1043217656, taxonomy code is 207R00000X and license number is 28945, license state is located at North Carolina. Charles R. Beasley M.D. physically located at 395 W 27th St, Lumberton NC, 28358-3018. NPI Number Charles R. Beasley M.D. has the Individual type.

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1043217656 NPI number is provided on an as is basis without warranty of any kind. 1043217656 is maintained by the National Plan & Provider Enumeration System. The contents of Charles R. Beasley M.D. are for informational purposes only.