Individual
MR. TABE BESONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
160 KIMEL FOREST DR STE 100, WINSTON SALEM, NC 27103-6084
(336) 883-0029
(336) 883-0867
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 883-0867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023557
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PMH11250006
NC
Other
Enumeration date
11/05/2025
Last updated
06/18/2026
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