Individual
MRS. BEAULISA DAWN METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5661
Mailing address
1135 BARRINGER RD, SALISBURY, NC 28147-9511
(704) 642-0043
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44172
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430038219
RR MEDICARE
NC
05
—
8050647
—
NC
Enumeration date
07/02/2006
Last updated
10/28/2020
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