Individual
DR. JEFFREY CARLTON BEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 NORTHLINE AVE, STE 200, GREENSBORO, NC 27408-7616
(336) 545-5000
(336) 545-5020
Mailing address
PO BOX 38008, GREENSBORO, NC 27438-8008
(336) 545-5000
(336) 545-5020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36316
NC
207X00000X
Orthopaedic Surgery Physician
Primary
36316
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
36316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8914139
—
NC
Enumeration date
08/09/2005
Last updated
03/28/2012
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