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Individual

DR. CAMILLE MERCEDES GARDNER-BEASLEY

Active
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Individual

DR. CAMILLE MERCEDES GARDNER-BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200700182
NC
207Q00000X
Family Medicine Physician
Primary
7564
AK
207Q00000X
Family Medicine Physician
MEDS7564
AK

Other

Enumeration date
12/16/2005
Last updated
04/02/2019
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