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NPI Code Detail

MEDICARE: MR. NORMAN BELMORE

MEDICARE: MR. NORMAN BELMORE
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
1367500000XCertified Registered Nurse Anesthetist174232NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154387009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NORMAN BELMORE
Provider Business Mailing Address
First Line : 318 COUNTRY CLUB DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7402
Country : US
Telephone Number : 910-450-4048
Fax Number :
Provider Business Practice Location Address
First Line : 317 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6338
Country : US
Telephone Number : 910-577-2471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 07/08/2007

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