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NPI Code Detail

MEDICARE: MARGARET SUSAN BEARD

MEDICARE: MARGARET SUSAN BEARD
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
1171M00000XCase Manager/Care CoordinatorCP00455436WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023617545
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET SUSAN BEARD
Provider Business Mailing Address
First Line : 2558 WINFIELD RD
Second Line :
City : SAINT ALBANS
State : WV
Zip : 25177-7804
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2558 WINFIELD RD
Second Line :
City : SAINT ALBANS
State : WV
Zip : 25177-7804
Country : US
Telephone Number : 304-755-2385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

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Directions to “ MARGARET SUSAN BEARD ” Practice Location

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