Beck, Timothy Scott

Beck, Timothy Scott is an individual health care provider with primary practice located at 30 Cottonwood St , Clayton GA 30525-4295. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Beck, Timothy Scott can be contacted via phone (706) 782-5044.

Contact Information

Primary practice address
30 Cottonwood St Clayton GA 30525-4295
Phone: (706) 782-5044
Fax: (706) 827-5093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 054546 Georgia

Profile Details

NPI number 1548223779
LBN Legal business name Beck, Timothy Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 14th, 2015 - about 11 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 1548223779 NPPES
Georgia MEDICAID 720172314B
Georgia Other 867920
Georgia MEDICAID 720172314A

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