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NPI Code Detail

MEDICARE: MS. NANCY CHILES BECKHAM R.N.

MEDICARE: MS. NANCY CHILES BECKHAM R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered Nurse3659348TN

General Provider Information

NPI Number : 1578780664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY CHILES BECKHAM R.N.
Provider Business Mailing Address
First Line : 1414 CONTINENTAL DR
Second Line : # 803
City : CHATTANOOGA
State : TN
Zip : 37405-1526
Country : US
Telephone Number : 423-757-0927
Fax Number :
Provider Business Practice Location Address
First Line : 9527 W RIDGE TRAIL RD
Second Line :
City : SODDY DAISY
State : TN
Zip : 37379-4018
Country : US
Telephone Number : 423-842-3031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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