Beach, Trevor
Beach, Trevor is an individual health care provider with primary practice located at 1200 Johnson Ferry Rd Ste 150 , Marietta GA 30068-5403. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Beach, Trevor can be contacted via phone (770) 971-9820.Contact Information
Primary practice address
1200 Johnson Ferry Rd Ste 150
Marietta GA 30068-5403
Phone: (770) 971-9820
Fax: (770) 971-9822
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 135000748 | Illinois |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD001255 | Georgia |
Profile Details
NPI number | 1790072247 |
---|---|
LBN Legal business name | Beach, Trevor |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2011 |
Last updated | Mar 26th, 2018 - about 6 years ago |
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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