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NPI Code Detail

MEDICARE: ANTHONY C BEALL MD

MEDICARE: ANTHONY C BEALL MD
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
1207L00000XAnesthesiology Physician16858SC

Other Identifiers

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

General Provider Information

NPI Number : 1740257450
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY C BEALL MD
Provider Business Mailing Address
First Line : 9263 MEDICAL PLAZA DR
Second Line : STE E
City : CHARLESTON
State : SC
Zip : 29406-7112
Country : US
Telephone Number : 843-553-7070
Fax Number : 843-553-2223
Provider Business Practice Location Address
First Line : 9263 MEDICAL PLAZA DR
Second Line : STE E
City : CHARLESTON
State : SC
Zip : 29406-7112
Country : US
Telephone Number : 843-572-1228
Fax Number : 877-561-7564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 06/01/2012

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Directions to “ ANTHONY C BEALL MD” Practice Location

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