Beard, Walter Lee
Beard, Walter Lee is an individual health care provider with primary practice located at 1700 Spring Hill Ave Ste 100 , Mobile AL 36604-1416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Beard, Walter Lee can be contacted via phone (251) 435-1200.Contact Information
Primary practice address
1700 Spring Hill Ave Ste 100
Mobile AL 36604-1416
Phone: (251) 435-1200
Fax: (251) 435-6357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T-2403 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME132982 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 81780 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.36054 | Alabama |
Profile Details
| NPI number | 1396032983 |
|---|---|
| LBN Legal business name | Beard, Walter Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2011 |
| Last updated | Oct 8th, 2019 - about 5 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 | 1396032983 | NPPES |
| Georgia | Other | 81780 | MEDICAL LICENSE |
| Georgia | Other | ME132982 | MEDICAL LICENSE |
| Georgia | Other | T-2403 | MEDICAL LICENSE |
| Georgia | Other | MD.36054 | MEDICAL LICENSE |
| Georgia | MEDICAID | 021429400 | MEDICAL LICENSE |
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