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NPI Code Detail

MEDICARE: DAVID CRAVEN BEARD

MEDICARE: DAVID CRAVEN BEARD
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
1207RC0000XCardiovascular Disease Physician31768NC

General Provider Information

NPI Number : 1982600201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CRAVEN BEARD
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-343-9800
Fax Number : 704-347-2011
Provider Business Practice Location Address
First Line : 125 QUEENS RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-3215
Country : US
Telephone Number : 704-343-9800
Fax Number : 704-347-2011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/27/2023

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Directions to “ DAVID CRAVEN BEARD ” Practice Location

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