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:
Map and Directions
Authorized official contact:
Name: Beavers, Clarence Doctor of Medicine (MD)
Phone: (336) 627-3194

Health care specialties

SpecialtyCodeLicense #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 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477842573 NPPES
North Carolina Other 2154554C MEDICARE
North Carolina Other DR4608 MEDICARE
North Carolina MEDICAID 5917187 MEDICARE

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