Individual
WAYNE BEAUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
(336) 883-0867
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 899-2188
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
35265
NC
207RP1001X
Pulmonary Disease Physician
Primary
35265
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171290A
MEDICARE PTAN
NC
01
—
2171290D
MEDICARE PTAN
NC
01
—
2171290E
MEDICARE PTAN
NC
Enumeration date
07/24/2006
Last updated
07/19/2024
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