Individual
DR. JENNIFER BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27103
(336) 716-2011
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27103
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017-00682
NC
Other
Enumeration date
05/19/2015
Last updated
12/05/2017
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