Individual
BETH R GILCHRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
CLARK HEALTH CLINIC 5-4257 BASTOGNE ST, FORT LIBERTY, NC 28310-3629
(910) 907-2575
(910) 907-9606
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
COA-12460-ANP
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.12460-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA-12460-NP
LICENSE
OH
Enumeration date
07/26/2011
Last updated
12/12/2024
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