# EXPRESS CARE & FAMILY PRACTICE CENTER, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962773515
- **Authorized official:** MR. CARLTON REID BEAMAN JR. PHYSICIAN ASSISTANT (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (252) 439-0065

## Contact information

- **Practice address:** 2080 W ARLINGTON BLVD STE A, GREENVILLE, NC 27834-3770
- **Practice address phone:** (252) 439-0065
- **Practice address fax:** (252) 439-0071
- **Mailing address:** 2080 W ARLINGTON BLVD STE A, GREENVILLE, NC 27834-3770
- **Mailing address phone:** (252) 439-0065
- **Mailing address fax:** (252) 439-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 101911 | NC | Yes |

## Other

- **Enumeration date:** 01/13/2012
- **Last updated:** 01/13/2012