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
Phone: (678) 661-4545
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578594057 | NPPES |
Georgia | MEDICAID | 000318447G |
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