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DR. CARMEN ELIZABETH BEVERLY DPM

>> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1619908795

Individual Registrant:
DR. CARMEN ELIZABETH BEVERLY DPM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
CAVHCS 2400 HOSPITAL RD DM CLINIC TUSKEGEE, AL 36083 US
Tel: 337-727-0550  Fax: --

Contact information for business:
1322 N DEAN RD #619 AUBURN, AL 36830-7638 US
Tel: 334-821-8827  Fax: --

Registration Information:
NPI: 1619908795
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
GA494
X213EP1101XPodiatric Medicine & Surgery Service Providers
Podiatrist
GA494
X213ES0131XPodiatric Medicine & Surgery Service Providers
Podiatrist
GA494

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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