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NPI Code Detail

MEDICARE: BECK'S HEALTHCARE, LLC

MEDICARE: BECK'S HEALTHCARE, LLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1801859020
Entity Type Code : Organization
Provider Name (Legal Business Name) : BECK'S HEALTHCARE, LLC
Provider Business Mailing Address
First Line : PO BOX 1947
Second Line :
City : CLAYTON
State : GA
Zip : 30525-0049
Country : US
Telephone Number : 706-782-5044
Fax Number : 706-782-5024
Provider Business Practice Location Address
First Line : 156 N MAIN ST
Second Line :
City : CLAYTON
State : GA
Zip : 30525-4266
Country : US
Telephone Number : 706-782-5044
Fax Number : 706-782-5024
Authorized Official
Title or Position : OWNER/DOCTOR
Name : DR. TIMOTHY SCOTT BECK
Credential : M.D.
Telephone Number : 706-782-5044
Provider Enumeration Date : 04/10/2006
Last Update Date : 02/09/2010

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Directions to “BECK'S HEALTHCARE, LLC ” Practice Location

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