Individual
DR. CHARLES THEODORE BEEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 RIVIERA DR, SUMMERVILLE, SC 29483-9763
(919) 499-3021
Mailing address
102 RIVIERA DR, SUMMERVILLE, SC 29483-9763
(919) 499-3021
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29074
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144325077
—
NC
01
—
14358
BCBSNC
NC
05
—
8914358
—
NC
Enumeration date
09/14/2006
Last updated
07/25/2016
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