Individual
CYNTHIA L BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1785 BALDHEAD ISLAND DR, APEX, NC 27502-8576
(576) 212-2627
Mailing address
932 MORREENE RD, DURHAM, NC 27705-4410
(919) 668-2879
(919) 668-2855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04386
NC
363A00000X
Physician Assistant
Primary
0110002539
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679759781
—
VA
Enumeration date
01/18/2008
Last updated
04/11/2022
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