Organization
BETHAMY ENTERPRISES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN LANE MORRIS (ADMINISTRATOR)
(704) 633-1985
Entity
Organization
Contact information
Practice address
909 N SALISBURY AVE, SPENCER, NC 28159-1828
(704) 633-1985
Mailing address
909 N SALISBURY AVE, SPENCER, NC 28159-1828
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
HAL080-006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780-1221
—
NC
Enumeration date
02/27/2007
Last updated
07/31/2008
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