Individual
BEVERLY M GENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
636 G LONGPOINT RD, #125, MOUNT PLEASANT, SC 29464-7905
(843) 352-0674
(843) 971-3382
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 883-5010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14249
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142492
—
SC
Enumeration date
07/25/2006
Last updated
02/15/2008
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