# DONALD E BEACH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063434108
- **Authorized official:** DR. DONALD E BEACH MD (OWNER)
- **Authorized official phone:** (256) 974-6646

## Contact information

- **Practice address:** 633 LAWRENCE ST, MOULTON, AL 35650-1532
- **Practice address phone:** (256) 974-6646
- **Practice address fax:** (256) 974-8654
- **Mailing address:** 633 LAWRENCE ST, MOULTON, AL 35650-1532
- **Mailing address phone:** (256) 974-6646
- **Mailing address fax:** (256) 974-8654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00009068 | AL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/27/2013