BEVERLY J DEGRANDCHAMP NP

GOSHEN MEDICAL CENTER INCORPORATED

Dr BEVERLY J DEGRANDCHAMP NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 1999.

Contact

GOSHEN MEDICAL CENTER INCORPORATED

408 FAIRVIEW ST
CLINTON
NC
283282312

Tel: 9105962400

BEVERLY J DEGRANDCHAMP NP Information

Npi 1861452781
Pac Id 2567435829
Professional Enrollment Id I20120206000642
Last Name DEGRANDCHAMP
First Name BEVERLY
Middle Name J
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 1999
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GOSHEN MEDICAL CENTER INCORPORATED
Group Practice Pac Id 3173434479
Number Of Group Practice Members 34
Line 1 Street Address 408 FAIRVIEW ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLINTON
State NC
Zip Code 283282312
Phone Number 9105962400
Hospital Affiliation Ccn 1 340024
Hospital Affiliation Lbn 1 SAMPSON REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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