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1669437950

NPI Code Detail

MEDICARE: DR. ANNETTE BEY M.D.

MEDICARE: DR. ANNETTE BEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9901505	NC
2	207V00000X	Obstetrics & Gynecology Physician	14410	SC
3	2083P0901X	Public Health & General Preventive Medicine Physician	9901505	NC
4	207V00000X	Obstetrics & Gynecology Physician	9901505	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	232009	OTHER	NC	MEDICARE PTAN, GROUP
3	2075104	OTHER	NC	MEDICARE PTAN, INDIVIDUAL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669437950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE BEY M.D.

Provider Business Mailing Address
First Line	:	3310 MAGNOLIA ST
Second Line	:
City	:	ORANGEBURG
State	:	SC
Zip	:	29115-1466
Country	:	US
Telephone Number	:	803-531-6900
Fax Number	:	803-531-6907

Provider Business Practice Location Address
First Line	:	1100 E WENDOVER AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-6713
Country	:	US
Telephone Number	:	336-641-3245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	10/13/2020

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Directions to “ DR. ANNETTE BEY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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