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Contact Information

BETHANY MEDICAL CENTER
1908 CAUDLE DR STE 105
MOUNT AIRY, NC27030-4322
 Phone: 336-883-0029
 Fax: 336-883-0867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BETHANY MEDICAL CENTER · (Female)

NPI # 1528525839
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2019
Last updated 10/13/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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