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Individual

TANYA DENISE BECKFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214-4550
(770) 991-2200
(770) 716-8672
Mailing address
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214-4550
(770) 991-2200
(770) 716-8672

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
060703
GA
207VG0400X
Gynecology Physician
244284
NY

Other

Enumeration date
05/31/2007
Last updated
06/06/2014
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