Individual
DR. MICHAEL BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2171
(704) 355-5736
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-2171
(704) 355-5736
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
9801162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912687
—
NC
05
—
N01162
—
SC
Enumeration date
12/28/2005
Last updated
05/04/2012
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