Beacham, Charles
Beacham, Charles is an individual health care provider with primary practice located at 3505 Lost Tree Ln , Augusta GA 30907-9516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Beacham, Charles can be contacted via phone (786) 493-8482.Contact Information
Primary practice address
3505 Lost Tree Ln
Augusta GA 30907-9516
Phone: (786) 493-8482
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | Mississippi |
Profile Details
NPI number | 1356379127 |
---|---|
LBN Legal business name | Beacham, Charles |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356379127 | NPPES |
Other | 690005255 | RAILROAD |
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