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Individual
WILSON C. BEAMER
Active
Individual
WILSON C. BEAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
36290
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050011295
UHC MEDICARE
TN
01
—
100010198
PHP TENNCARE
TN
01
—
2002578
BLUE CROSS
TN
05
—
3081811
—
TN
Enumeration date
06/14/2005
Last updated
06/05/2024
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