Individual
MRS. BEVERLY FORTNER WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
381 DEERFIELD RD, BOONE, NC 28607-5009
(828) 268-8970
(828) 262-1587
Mailing address
381 DEERFIELD RD, BOONE, NC 28607-5009
(828) 268-8970
(828) 262-1587
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
046915
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
2008-01844
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00910225A
—
GA
Enumeration date
11/21/2006
Last updated
06/21/2012
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