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NPI Code Detail

MEDICARE: GREGORY BEAUCHAMP D.C.

MEDICARE:   GREGORY  BEAUCHAMP  D.C.
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
1111N00000XChiropractorCH 60600005WA

General Provider Information

NPI Number : 1194196451
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY BEAUCHAMP D.C.
Provider Business Mailing Address
First Line : 1150 VULTEE BLVD
Second Line : APT. E2
City : NASHVILLE
State : TN
Zip : 37217-2123
Country : US
Telephone Number : 615-574-5075
Fax Number :
Provider Business Practice Location Address
First Line : 1100 KERMIT DR
Second Line : SUITE 26
City : NASHVILLE
State : TN
Zip : 37217-2121
Country : US
Telephone Number : 615-574-5075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2015
Last Update Date : 03/14/2017

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Directions to “ GREGORY BEAUCHAMP D.C.” Practice Location

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