Organization
RUBY S BESHEARS
Active
Other names
Pennyrich Bras & Lingerie
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY S BESHEARS (OWNER CONSULTANT)
(336) 784-0803
Entity
Organization
Contact information
Practice address
3030 GREENHOUSE RD, WINSTON SALEM, NC 27127-7206
(336) 784-0803
Mailing address
3030 GREENHOUSE ROAD, WINSTON SALEM, NC 27127-7206
(336) 784-0803
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0437Q
BCBS
NC
05
—
7701749
—
NC
Enumeration date
12/09/2005
Last updated
07/11/2008
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