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Organization
WEST COLUMBUS FAMILY PRACTICE, P.A.
Active
Organization
WEST COLUMBUS FAMILY PRACTICE, P.A.
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 28431-1716
(910) 654-1701
(910) 654-5701
Mailing address
110 N BROWN ST, CHADBOURN, NC 28431-1716
(910) 654-1701
(910) 654-5701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344634A
—
NC
05
—
344634C
—
NC
Enumeration date
09/20/2006
Last updated
10/13/2011
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