Individual
ALICIA PAULEY BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 VEST MILL CIR, WINSTON SALEM, NC 27103-2943
(336) 718-7800
(336) 718-7900
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 712-0700
(336) 712-0876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009501490
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8914069
—
NC
Enumeration date
01/10/2006
Last updated
08/25/2021
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