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Individual

KAREN ROSE BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
920 PAVERSTONE DRIVE, SUITE D, RALEIGH, NC 27615
(919) 896-6998
(919) 896-6414
Mailing address
920 PAVERSTONE DRIVE, SUITE D, RALEIGH, NC 27615
(919) 896-6998
(919) 896-6414

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200500158
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5901398
NC
Enumeration date
10/17/2006
Last updated
03/03/2010
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