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Individual

STEVEN L. BEATY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1994 GALLATIN PIKE N, SUITE 202, MADISON, TN 37115-2026
(615) 851-0001
(615) 851-0021
Mailing address
PO BOX 2344, INDIANAPOLIS, IN 46206-2344
(866) 857-4190
(800) 731-0751

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11406
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3125002
BCBS NUMBER
TN
05
3624353
TN
05
74000290
AL
Enumeration date
07/18/2005
Last updated
04/16/2014
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