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Individual

DAVID CALVIN BEALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7601
Mailing address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7601

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MB1618430
NC

Other

Enumeration date
05/31/2008
Last updated
05/31/2008
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