Individual
DR. MARION EARL BEAUMONT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1305 E MILLBROOK RD, SUITE C101, RALEIGH, NC 27609-5400
(919) 871-0349
(919) 871-0359
Mailing address
4000 WAKE FOREST RD, SUITE 100, RALEIGH, NC 27609-6859
(919) 871-0349
(919) 871-0359
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085N6
BLUE CROSS CLUE SHIELD
NC
05
—
89085N6
—
NC
Enumeration date
02/01/2006
Last updated
12/07/2007
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