Individual
BETHANY MARIE APPLEBOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
57 WHITE OWL LN, CASHIERS, NC 28717-4514
(828) 743-2491
(828) 743-3060
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 526-1280
(828) 526-1285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05933
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201100
GATEWAY HEALTH PLAN
NC
01
—
19ED1
BCBS OF NC
NC
01
—
7638386
PRIME HEALTH SERVICES
NC
Enumeration date
08/06/2015
Last updated
07/21/2022
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