Individual
MR. RODNEY K BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PARKWEST CIR STE 2, DOTHAN, AL 36303
(334) 699-2004
Mailing address
200 PARKWEST CIR STE 2, DOTHAN, AL 36303-3069
(334) 699-2004
(334) 699-2006
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
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