Individual
BIANCA BEYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 834-2450
(704) 671-5331
Mailing address
PO BOX 531797, ATLANTA, GA 30353-1797
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03633
NC
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396055026
—
NC
05
—
8102846
—
NC
Enumeration date
10/15/2010
Last updated
01/04/2017
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