Beecher, Martha D

Beecher, Martha D is an individual health care provider with primary practice located at 195 E Tollison St , Baxley GA 31513-0120. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Beecher, Martha D can be contacted via phone (912) 367-0434.

Contact Information

Primary practice address
195 E Tollison St Baxley GA 31513-0120
Fax: (912) 367-0436
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN124430 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN124430 Georgia

Profile Details

NPI number 1629008040
LBN Legal business name Beecher, Martha D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 9th, 2010 - about 14 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 1629008040 NPPES
Georgia MEDICAID 000807419D
Georgia MEDICAID 000807419B
Georgia MEDICAID 000807419C

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