Beauchamp, Mary Margaret

Beauchamp, Mary Margaret is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Beauchamp, Mary Margaret can be contacted via phone (706) 295-5331.

Contact Information

Primary practice address
1825 Martha Berry Blvd Nw Rome GA 30165-1625
Phone: (706) 295-5331
Fax: (706) 236-6491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 056960 Georgia

Profile Details

NPI number 1366496903
LBN Legal business name Beauchamp, Mary Margaret
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 23rd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366496903 NPPES
Georgia MEDICAID 652877185A
Georgia MEDICAID 652877185C
Georgia MEDICAID 652877185B

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