CARY CREEK MEDICAL PC DBA BEAUREGARD CLINIC NPI 1265687818

NPI Information

CARY CREEK MEDICAL PC DBA BEAUREGARD CLINIC is a primary care clinic center in Auburn, AL. CARY CREEK MEDICAL PC DBA BEAUREGARD CLINIC NPI is 1265687818. The provider is registered as an organization entity type.
The provider Is Doing Business As Beauregard Clinic.

The provider's business location address is:

2900 E UNIVERSITY DR STE 110
AUBURN, AL
ZIP 36830-720
Phone: (334) 502-2440
Fax: (334) 502-2460

The provider's authorized official is Martin G Roach .
The authorized official title is Owner and has the following contact phone number (334) 737-5557.

The CLIA number assigned to this NPI record is 01D2110277 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 10/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.