Individual
DR. CHARLES BRITTON BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 DOCTORS DR, KINSTON, NC 28501-1584
(252) 523-0687
(252) 523-0255
Mailing address
1103 COUNTRY CLUB DR, KINSTON, NC 28504-2644
(252) 527-7522
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040008806
MEDICARE RAILROAD
NC
05
—
8914158
—
NC
Enumeration date
11/09/2006
Last updated
09/02/2010
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