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Contact Information

CLINTON S BEVERLY, MD
1906 THOMSON DRIVE
CENTRAL VIRGINIA SURGERY
LYNCHBURG, VA24501
 Phone: 434-947-3933
 Fax: 434-947-3988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CLINTON S BEVERLY · (Male)

NPI # 1275604647
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2006
Last updated 08/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 054250
  • GA Medicaid 913938883A
  • GA Other 52143398 BCBS PROVIDER #
  • GA Other 913938883A PEACH STATE PROVIDER #
  • GA Other P00143081 RAILROAD MEDICARE #
  • GA Other 303465 WELL CARE PROVIDER #
Hospital affiliation(s)
  • CENTRA HEALTH INC - (Acute Care)
    1920 ATHERHOLT ROAD
    LYNCHBURG, VA 24501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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