Individual
VICKY BOWLES BEAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 765-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
608
NC
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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