Individual provider · NPI-1

Natalie Carroll Beasley Brantley

Obstetrics & Gynecology, Reproductive Endocrinology · Raleigh, NC

NPI number1609588797
StatusActive
Last updated in NPPESDec 20, 2022

Details

NPI
1609588797
Entity type
Individual (NPI-1)
Name
Mrs. Natalie Carroll Beasley Brantley
Sex
Female
Sole proprietor
No
Enumeration date
Dec 20, 2022
Certification date
Dec 20, 2022
Last updated
Dec 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology5017374NCYes

Practice location

2601 Lake Dr Ste 301
Raleigh, NC 27607-6689

Phone 919-782-5911 · Fax 919-861-6400

Mailing address

411 New Hope Church Rd
Turkey, NC 28393-9193

Phone 910-271-0892

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