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Individual
BETHANY JULY SOUTH
Active
Individual
BETHANY JULY SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200400980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1237673
AETNA
NC
01
—
142TA
BCBS OF NC
NC
01
—
188300
MEDCOST
NC
01
—
3866591
CIGNA
NC
01
—
5710721
FIRST HEALTH
NC
05
—
5905046
—
NC
01
—
P00713054
RAILROAD MEDICARE
NC
Enumeration date
05/16/2006
Last updated
10/28/2020
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