Individual
DR. BEVIN ELIZABETH HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, SUITE 300C, CHARLOTTE, NC 28204-2963
(704) 355-0607
(704) 302-8004
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-0607
(704) 302-8004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
240199
MA
207RI0200X
Infectious Disease Physician
Primary
2014-00577
NC
207RI0200X
Infectious Disease Physician
263825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770719015
—
NC
01
—
2014-00577
NC LICENSE
NC
05
—
NC2148
—
SC
Enumeration date
06/01/2009
Last updated
10/07/2015
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