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Individual
LEE ALEXANDER BEATTY
Active
Individual
LEE ALEXANDER BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080119381
RAILROAD MEDICARE
NC
01
—
14180
NCBCBS
NC
05
—
1962422071
—
NC
05
—
8914180
—
NC
05
—
N24346
—
SC
Enumeration date
07/20/2006
Last updated
12/30/2016
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