Individual
DR. ETHAN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3040 HAMMOND BUSINESS PL, SUITE 105, RALEIGH, NC 27603-3666
(919) 899-6259
(919) 838-9074
Mailing address
3040 HAMMOND BUSINESS PL, SUITE 105, RALEIGH, NC 27603-3666
(919) 899-6259
(919) 838-9074
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-00236
NC
Other
Enumeration date
11/02/2005
Last updated
08/21/2015
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