Individual ProviderMarion Earl BeaumontChiropractorChiropractic ProvidersPractice Address1305 E Millbrook Rd, Suite C101, Raleigh, NC 27609-5400(919) 871-0349PECOS EnrollmentBased on the most recent information from CMS, provider Marion Earl Beaumont does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1437121878Provider TypeIndividualFull NameBeaumont, Marion EarlTitleDr.CredentialD.CGenderMaleSole ProprietorNoEnumeration Date2/1/2006Last Updated12/7/2007Contact InformationPractice LocationPractice Address1305 E Millbrook Rd, Suite C101, Raleigh, NC 27609-5400Phone(919) 871-0349Fax(919) 871-0359Mailing LocationMailing Address4000 Wake Forest Rd, Suite 100, Raleigh, NC 27609-6859Phone(919) 871-0349Fax(919) 871-0359Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense3193North CarolinaProvider IdentifiersIDDescriptionIssuerID085N6DescriptionOtherIssuerBLUE CROSS CLUE SHIELDNorth CarolinaID89085N6DescriptionMedicaidIssuerUnlistedNorth Carolina