Beavers Dermatology & Skin Surgery, Pllc
LBN: Beavers Dermatology & Skin Surgery, Pllc
Beavers Dermatology & Skin Surgery, Pllc is an health care organization with primary practice located at 207 E Meadow Rd Ste 1 , Eden NC 27288-3469. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Beavers Dermatology & Skin Surgery, Pllc can be contacted via phone (336) 627-3194, or through Beavers, Clarence via phone (336) 627-3194.
Contact Information
Primary practice address
207 E Meadow Rd Ste 1
Eden NC 27288-3469
Phone: (336) 627-3194
Fax: (336) 627-3208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 39543 | North Carolina |
Profile Details
| NPI number | 1477842573 |
|---|---|
| LBN Legal business name | Beavers Dermatology & Skin Surgery, Pllc |
| DBA Doing business as | |
| Authorized official | Beavers, Clarence Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2011 |
| Last updated | Aug 10th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477842573 | NPPES |
| North Carolina | Other | 2154554C | MEDICARE |
| North Carolina | Other | DR4608 | MEDICARE |
| North Carolina | MEDICAID | 5917187 | MEDICARE |
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