Individual
BETH A EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
91 ENTERPRISE DR, ROCKY MOUNT, NC 27804-9590
(252) 937-0235
(252) 937-3103
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103657
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18845
BCBS OF NC
NC
01
—
P00326702
RAILROAD MEDICARE
NC
Enumeration date
06/08/2006
Last updated
03/05/2019
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