Individual
DR. JOHN CLEMENTS BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 MALCOLM BLVD STE 150, CONNELLY SPRINGS, NC 28612
(828) 874-4600
(828) 874-8900
Mailing address
730 MALCOLM BLVD STE 150, CONNELLY SPRINGS, NC 28612-8079
(828) 874-4600
(828) 874-8900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710052535
—
NC
05
—
891134Y
—
NC
Enumeration date
11/21/2006
Last updated
06/04/2018
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