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Individual

DR. MICHAEL BARRY BECKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6 WEAVERVILLE PLAZA, WEAVERVILLE, NC 28787
(828) 658-2901
Mailing address
110 PINNACLE PEAK LN, FLAT ROCK, NC 28731-8559
(828) 698-8083

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0852
NC
152W00000X
Optometrist
503
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093K6
NC
Enumeration date
04/28/2010
Last updated
04/28/2010
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