Healthcare Provider Details

I. General information

NPI: 1588568547
Provider Name (Legal Business Name): DR. CHRISTINE BESHAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 PAVILION DR
LITTLE RIVER SC
29566-9141
US

IV. Provider business mailing address

119 PAVILION DR
LITTLE RIVER SC
29566-9141
US

V. Phone/Fax

Practice location:
  • Phone: 843-396-3412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number11601
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: