Individual
MRS. BETH GURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2515 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8712
(336) 979-4499
(336) 355-7505
Mailing address
765 HIGHLAND OAKS DR, SUITE 100, WINSTON SALEM, NC 27103-7101
(336) 760-4004
(336) 760-6632
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8978751
—
NC
Enumeration date
07/25/2006
Last updated
12/10/2024
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