Clint Beaver is a Sports Medicine in Mooresville, North Carolina. Clint Beaver practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Clint Beaver is 1558565838. The last update date is 2020-10-28.
Clint Beaver's current location address is 106 Corporate Park Dr, Mooresville, North Carolina. You can contact this provider via phone number 7042359090 and fax number 7042359101. The mailing address for Clint Beaver is 106 Corporate Park Dr, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clint Beaver |
|---|---|
| Address | 106 Corporate Park Dr, Mooresville, North Carolina |
| Phone Number | 7042359090 |
| Fax Number | 7042359101 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558565838 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
| Address | 106 Corporate Park Dr |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 281177134 |
| Phone Number | 7042359090 |
| Fax Number | 7042359101 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 200901244 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5915044 | NC | -- |
Post Comment/ Review Below
What is the Clint Beaver's 1558565838?
The Clint Beaver's NPI (National Provider Identifier) Number is 1558565838. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clint Beaver is physically located?
The Clint Beaver is physically situated at the following address: 106 Corporate Park Dr, Mooresville, NC, 281177134.
What is Clint Beaver's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clint Beaver is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
When did the Clint Beaver receive its 1558565838?
The Clint Beaver was issued its 1558565838 on 2007-06-12, which is the date when the organization was assigned this unique identifier.
When was the Clint Beaver's information last updated?
The Clint Beaver's information was last updated on 2020-10-28.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL