Womack, Beverly Fortner
Womack, Beverly Fortner is an individual health care provider with primary practice located at 381 Deerfield Rd , Boone NC 28607-5009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Womack, Beverly Fortner can be contacted via phone (828) 268-8970.Contact Information
Primary practice address
381 Deerfield Rd
Boone NC 28607-5009
Phone: (828) 268-8970
Fax: (828) 262-1587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 046915 | Georgia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2008-01844 | North Carolina |
Profile Details
| NPI number | 1245305713 |
|---|---|
| LBN Legal business name | Womack, Beverly Fortner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jun 21st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245305713 | NPPES |
| Georgia | MEDICAID | 00910225A |
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