Beecham, Allen Randle

Beecham, Allen Randle is an individual health care provider with primary practice located at 2000 Village Professional Dr Suite 200, Canton GA 30114-8498. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Beecham, Allen Randle can be contacted via phone (678) 661-4545.

Contact Information

Primary practice address
2000 Village Professional Dr Suite 200 Canton GA 30114-8498
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 025102 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 025102 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 025102 Georgia

Profile Details

NPI number 1578594057
LBN Legal business name Beecham, Allen Randle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 29th, 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 1578594057 NPPES
Georgia MEDICAID 000318447G

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