person
Beau Randolph White
Student in an Organized Health Care Education/Training Program in Chapel Hill, North Carolina
NPI 1982225579

Beau Randolph White is a Student in an Organized Health Care Education/Training Program based in Durham, NC. Beau Randolph White practices in Chapel Hill, NC. The NPI Number for Beau Randolph White is 1982225579 and holds a License No. 261467 (North Carolina).

The current practice location address for Beau Randolph White is 130 Mason Farm Rd, Chapel Hill, NC and can be reached out via phone at 919-966-9071 and via fax at 919-966-7956.

Location: 130 Mason Farm Rd, Chapel Hill, NC, 27713-6057
person
Provider Profile Details
NPI Number
1982225579
Provider Name
Beau Randolph White
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 Mason Farm Rd, Chapel Hill, NC, 27713-6057
Phone Number
919-966-9071
Fax Number
919-966-7956
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 Mason Farm Rd
City
State
Zip
25799
Phone Number
919-966-9071
Fax Number
919-966-7956
person
Provider Business Mailing Address Details
Address
130 Mason Farm Rd
City
State
Zip
25799
Phone Number
919-966-9071
Fax Number
919-966-7956
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
261467 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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