Individual
DR. CLINTON STEVEN BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 THOMSON DRIVE, CENTRAL VIRGINIA SURGERY, LYNCHBURG, VA 24501
(434) 947-3933
(434) 947-3988
Mailing address
1906 THOMSON DRIVE, CENTRAL VIRGINIA SURGERY, LYNCHBURG, VA 24501
(434) 947-3933
(434) 947-3988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
054250
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303465
WELL CARE PROVIDER #
GA
01
—
52143398
BCBS PROVIDER #
GA
01
—
913938883A
PEACH STATE PROVIDER #
GA
05
—
913938883A
—
GA
01
—
P00143081
RAILROAD MEDICARE #
GA
Enumeration date
11/10/2006
Last updated
08/28/2024
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