Individual
DR. MELINDA LEE BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 N BROAD STREET E, ANGIER, NC 27501-8954
(706) 340-3138
(704) 381-6841
Mailing address
612 N BROAD STREET E, ANGIER, NC 27501-8954
(706) 340-3138
(704) 381-6841
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017-01520
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801207543
—
NC
Enumeration date
05/15/2014
Last updated
11/15/2022
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