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Individual

DR. ROY DAVID BEATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
512 6TH AVE W, HENDERSONVILLE, NC 28739-3558
(828) 692-0897
(828) 692-2146
Mailing address
PO BOX 27877, SALT LAKE CITY, UT 84127-0877
(828) 694-8350
(828) 694-7654

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
038176
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
2008-00847
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00702303A
GA
01
150UP
BC/BS OF NC
NC
05
5910363
NC
01
P00967159
RR MEDICARE
NC
Enumeration date
01/13/2006
Last updated
08/11/2016
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