Beacham, Charles

Beacham, Charles is an individual health care provider with primary practice located at 3505 Lost Tree Ln , Augusta GA 30907-9516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Beacham, Charles can be contacted via phone (786) 493-8482.

Contact Information

Primary practice address
3505 Lost Tree Ln Augusta GA 30907-9516
Phone: (786) 493-8482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X Mississippi

Profile Details

NPI number 1356379127
LBN Legal business name Beacham, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356379127 NPPES
Other 690005255 RAILROAD

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