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CLARENCE HENRY BEAVERS M.D., NPI 1871595082

Dermatology in EDEN, NC

Last Updated on : Feb 23,2021

About CLARENCE HENRY BEAVERS (NPI 1871595082)


CLARENCE HENRY BEAVERS is a Dermatology provider in EDEN, United States. His medical specialization is Dermatology .

1871595082 is NPI number of CLARENCE HENRY BEAVERS.

CLARENCE HENRY BEAVERS's primary taxonomy code based on NPI Lookup is 207N00000X with license number 39543. This taxonomy code refers to Dermatology.

CLARENCE HENRY BEAVERS has more than 16 years of experience.

CLARENCE HENRY BEAVERS current practice location address is 207 E MEADOW RD STE 1, EDEN, NC. CLARENCE HENRY BEAVERS can be reached out via phone at 336-627-3194 and via fax at 336-627-3208 .

You can also correspond with CLARENCE HENRY BEAVERS through mail at mailing address PO BOX 1693, BRYSON CITY, NC, United States. Mailing address contact number is 336-967-0004.

The enumeration date of CLARENCE HENRY BEAVERS is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1871595082 NPI Information

Name CLARENCE HENRY BEAVERS
National Provider Id (NPI) 1871595082
Entity Type Individual
Gender M
Credential M.D.
Practice Address 207 E MEADOW RD STE 1,
EDEN, NC, United States
Practice Telephone 336-627-3194
Practice Fax Number 336-627-3208
Mailing Address PO BOX 1693 ,
BRYSON CITY, NC, United States
Mailing Telephone 336-967-0004
Mailing Fax Number 828-538-4441
Enumeration Date 01-Jun-2005
Last Updated Date 23-Feb-2021

CLARENCE HENRY BEAVERS (NPI 1871595082) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207N00000X Dermatology 39543 NC

CLARENCE HENRY BEAVERS (NPI 1871595082) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 207Q00000X Family Medicine 39543 NC

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
1871595082 MEDICAID (05) NC
2154554D Other (non-Medicare) (01) NC Medicare PTAN
B42730 MEDICARE UPIN (02) NC

CLARENCE HENRY BEAVERS (NPI 1871595082) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1144591413 JENNIFER A MCGEE Counselor, Professional PO BOX 807,
EDEN, GA, United States
19-Jan-2012
1588169031 CHRISTOPHER NATHANIEL DIAL-GILLIOM Case Management PO BOX 932,
EDEN, GA, United States
27-Mar-2018
1568106755 BRITTANY LEANNE WOODS Speech-Language Pathologist, PO BOX 669,
EDEN, GA, United States
24-Apr-2022
1942772975 WEE CARE PEDIATRIC THERAPY, LLC Physical Therapist, Pediatrics PO BOX 669,
EDEN, GA, United States
02-Jan-2019
1386710069 MARY CHRISTINE MICHENER Speech-Language Pathologist, 1175 E 900 S,
EDEN, ID, United States
27-Nov-2006
1336613389 KAYLA JUDD Registered Nurse 3555 REDDEN FERRY RD,
EDEN, MD, United States
13-Jan-2019
1487284519 ANNA L. R. FINNEY Behavior Technician 3429 RESIDENTIAL DR,
EDEN, MD, United States
16-Jan-2020
1750428207 KELLY G. HAUGH Social Worker, Clinical 5085 COOPER RD,
EDEN, MD, United States
31-Jan-2007
1619941986 MICHAEL P BUCHNESS Surgery, Vascular Surgery 4404 COOPER ROAD,
EDEN, MD, United States
14-Feb-2006
1720320302 DAVID MICHAEL LEVERT Social Worker, Clinical 4985 LORDS CREEK DR,
EDEN, MD, United States
21-Mar-2013
1184128472 ESTHER KIMANI Registered Nurse, Home Health 5044 CAMPGROUND RD,
EDEN, MD, United States
21-Mar-2018
1942643465 LEVERT COUNSELING SERVICES LLC Community/Behavioral Health 4985 LORDS CREEK DR,
EDEN, MD, United States
15-Apr-2013
1871970848 LEIGH MAYERS Marriage & Family Therapist 26685 VILLAGEDALE PL,
EDEN, MD, United States
29-Apr-2015
1558572883 MARSHA E BECKETT Counselor, Mental Health 31491 EDEN ALLEN RD, P.O. BOX 265
EDEN, MD, United States
25-May-2007
1184050213 JACQUELINE LEIGH WARD-BAKER Counselor, Professional 201 PINE BLUFF RD STE 2,
SALISBURY, MD, United States
20-Sep-2013
1639323108 VALERIE KELLAM WARD Social Worker, Clinical 14433 DOGWOOD DR,
EDEN, MD, United States
11-Nov-2008
1952384158 JUDITH ANNE GRAY Counselor, Mental Health 25485 HARCUM WHARF RD,
EDEN, MD, United States
22-Nov-2005
1831258532 VERA JEAN PATTERSON Social Worker 3345 BLUE HERON WAY,
EDEN, MD, United States
08-Dec-2006
1023655982 ALEXIS T BLOXOM Occupational Therapist, Physical Rehabilitation 27025 WALNUT TREE RD,
EDEN, MD, United States
10-Dec-2019
1053530212 DEBRA HARRISON Nurse Practitioner 100 E CARROLL ST, PEDIATRIC SPECIALTY SERVICES
SALISBURY, MD, United States
25-Apr-2007

FAQs

Whose NPI Number is 1871595082?

1871595082 is the NPI number of CLARENCE HENRY BEAVERS.

What is the specialty for CLARENCE HENRY BEAVERS?

The Specialty of CLARENCE HENRY BEAVERS is Dermatology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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