Individual
DR. HARLAN BEAVER DAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 KIMEL PARK DR, WINSTON-SALEM, NC 27103-6946
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
35623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356306922
—
NC
Enumeration date
04/18/2006
Last updated
01/07/2016
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