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Individual

ARTIS LANARD BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8231 BRIER CREEK PKWY, RALEIGH, NC 27617-7705
(919) 863-5032
(919) 863-5038
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2009
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093UR
BLUECROSS
NC
05
5903815
NC
01
P00371423
RAILROAD MEDICARE
NC
Enumeration date
04/14/2006
Last updated
07/25/2022
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