# JAY M BEAMS MD,INC

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

## Provider details

- **NPI number:** 1093989642
- **Authorized official:** JAY MILTON BEAMS (OWNER)
- **Authorized official phone:** (530) 257-4137

## Contact information

- **Practice address:** 701 NEVADA ST, SUSANVILLE, CA 96130-3912
- **Practice address phone:** (530) 257-4137
- **Mailing address:** 701 NEVADA ST, SUSANVILLE, CA 96130-3912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 00G156670 | CA | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008