MEDICARE: MERELEE J BECK

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
1	176B00000X	Midwife	LMW-0128	SC
2	374J00000X	Doula

General Provider Information

NPI Number	:	1477244036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERELEE J BECK

Provider Business Mailing Address
First Line	:	645 ARCH DR
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-5801
Country	:	US
Telephone Number	:	803-322-4134
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 ARCH DR
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-5801
Country	:	US
Telephone Number	:	803-322-4134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2023
Last Update Date	:	03/11/2026

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