Individual
CLAY E BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
229 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4510
(804) 228-3627
(804) 560-1312
Mailing address
229 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4510
(804) 228-3627
(804) 560-1312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101056135
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010252083
—
VA
05
—
010252091
—
VA
01
—
P00309631
RAILROAD MEDICARE
VA
Enumeration date
05/15/2006
Last updated
09/13/2024
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