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NPI Code Detail

MEDICARE: DR. CHRISTINA SAMAAN BEATTIE DO

MEDICARE: DR. CHRISTINA SAMAAN BEATTIE DO
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
1207R00000XInternal Medicine Physician5101023442MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10102207258OTHERVASTATE OF VIRGINIA
2DO89694OTHERSCSTATE OF SOUTH CAROLINA

General Provider Information

NPI Number : 1710417159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA SAMAAN BEATTIE DO
Provider Business Mailing Address
First Line : 1 GENESYS PKWY
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8065
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 162 N DEAN ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1517
Country : US
Telephone Number : 864-542-2773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2017
Last Update Date : 03/01/2025

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