Individual
MAHOGANEE BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 PAVILION WAY, SOUTHERN PINES, NC 28387-4561
(910) 295-5511
Mailing address
200 PAVILION WAY, SOUTHERN PINES, NC 28387-4561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018772
NC
Other
Enumeration date
02/08/2023
Last updated
09/29/2023
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