Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C BEALL (PHYSICIAN ASSISTANT)
(919) 286-0411
Entity
Organization
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
60 OLDE OAKS LN, PITTSBORO, NC 27312-8420
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
68158
NC
Other
Enumeration date
03/23/2006
Last updated
08/22/2020
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