Organization
YADKIN RIVER RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J BEERMAN M.D. (PRESIDENT)
(336) 760-4450
Entity
Organization
Contact information
Practice address
1365 WESTGATE CENTER DR, SUITE K-1, WINSTON SALEM, NC 27103-2980
(336) 760-4450
(336) 760-6197
Mailing address
1365 WESTGATE CENTER DR, SUITE K-1, WINSTON SALEM, NC 27103-2980
(336) 760-4450
(336) 760-6197
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015R1
—
NC
Enumeration date
07/22/2006
Last updated
06/26/2009
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