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Organization
WEST COLUMBUS FAMILY PRACTICE PA
Active
Organization
WEST COLUMBUS FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE BEAVER RN (CEO OWNER)
(910) 654-1701
Entity
Organization
Contact information
Practice address
110 N BROWN ST, CHADBOURN, NC 28431-1702
(910) 654-1701
(910) 654-5701
Mailing address
PO BOX 325, CHADBOURN, NC 28431-0325
(910) 654-1701
(910) 654-5701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36494
NC
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247Y
BCBS
NC
05
—
344630A
—
NC
05
—
344634A
—
NC
Enumeration date
09/07/2005
Last updated
08/11/2008
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