Individual
EVELYN NTUBE BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3363 VILLAGE DR., SUITE 200, FAYETTEVILLE, NC 28304-4508
(910) 486-7006
(910) 222-0401
Mailing address
3363 VILLAGE DR., SUITE 200, FAYETTEVILLE, NC 28304-4508
(910) 486-7006
(910) 222-0401
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200000354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12628
BCBS
NC
05
—
8912686
—
NC
Enumeration date
04/04/2006
Last updated
04/06/2010
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