Individual
MR. BEAU TIMOTHY WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2501 LINCOLNTON HWY, CHERRYVILLE, NC 28021-8346
(704) 445-7162
Mailing address
2501 LINCOLNTON HWY, CHERRYVILLE, NC 28021-8346
(704) 445-7162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013067
NC
Other
Enumeration date
05/01/2020
Last updated
07/11/2023
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