Individual
MR. RODNEY K BEAUCHAMP
Active
Individual
MR. RODNEY K BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00020759
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-59109
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
07/13/2006
Last updated
11/29/2018
Update your record
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