Individual
JAMES R BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APA-C
Contact information
Practice address
1013 DUNRAVEN CT, CONWAY, SC 29527-3154
(843) 438-4876
Mailing address
1013 DUNRAVEN CT, CONWAY, SC 29527-3154
(843) 438-4876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008159
NCCPA
—
Enumeration date
06/21/2006
Last updated
11/24/2012
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