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Individual
MICHAEL WESLEY BEATY
Active
Individual
MICHAEL WESLEY BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2000-01060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1263N
BCBS
—
01
—
37160
PARTNERS
—
05
—
6600751
—
VA
01
—
7708650
AETNA
—
05
—
891263N
—
NC
05
—
9801176000
—
WV
01
—
99592
MEDCOST
—
05
—
Q01060
—
SC
Enumeration date
11/29/2005
Last updated
08/19/2010
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