Beach, Paul Kevin

Beach, Paul Kevin is an individual health care provider with primary practice located at 2500 Starling Street Suite 201, Brunswick GA 31520-4267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Beach, Paul Kevin can be contacted via phone (912) 265-5125.

Contact Information

Primary practice address
2500 Starling Street Suite 201 Brunswick GA 31520-4267
Phone: (912) 265-5125
Fax: (912) 261-0907
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 63629 Georgia

Profile Details

NPI number 1770672982
LBN Legal business name Beach, Paul Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770672982 NPPES
South Carolina Other 0489056 AETNA
South Carolina Other P00067751 AETNA
South Carolina MEDICAID 707667089A AETNA

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