Beverly Dawn Moose in Winston Salem - Radiation Oncology
Beverly Dawn Moose - NPI 1487747648
Beverly Dawn Moose is a Radiation Oncology in Winston Salem, North Carolina. Beverly Dawn Moose practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Beverly Dawn Moose is 1487747648. The last update date is 2012-12-11.
Beverly Dawn Moose's current location address is Po Box 30337, Winston Salem, North Carolina. You can contact this provider via phone number 3367188592 and fax number 3367189269. The mailing address for Beverly Dawn Moose is Po Box 30337, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Dawn Moose |
|---|---|
| Address | Po Box 30337, Winston Salem, North Carolina |
| Phone Number | 3367188592 |
| Fax Number | 3367189269 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487747648 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2012-12-11 |
Provider Mailing Address Detail
| Address | Po Box 30337 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271300337 |
| Phone Number | 3367188592 |
| Fax Number | 3367189269 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 96-00124 |
|
Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97953 | MEDCOST | ||
| 6760232005 | CIGNA HEALTH CARE | ||
| 8960531 | NC | -- | |
| 13799 | PARTNERS NATIONAL HEALTH | ||
| 60531 | NC | BLUE CROSS/BLUE SHIELD | |
| 2408394 | UNITED HEALTH CARE | ||
| 5860531 | VA | -- |
Post Comment/ Review Below
What is the Beverly Dawn Moose's unique identification number?
The Beverly Dawn Moose has been assigned the NPI (National Provider Identifier) Number 1487747648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Beverly Dawn Moose?
The Beverly Dawn Moose is physically situated at Po Box 30337, in the city of Winston Salem, state of NC, with the postal code 271300337.
What is Beverly Dawn Moose's specialized field of practice, and what is the corresponding taxonomy classification code?
The Beverly Dawn Moose's area of specialization is Radiation Oncology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0001X.
When did the Beverly Dawn Moose receive its 1487747648?
The Beverly Dawn Moose was issued its 1487747648 on 2006-10-02, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Beverly Dawn Moose most recently updated or revised?
The details related to Beverly Dawn Moose, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-11.
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