Individual
DR. DOUGLAS CRAIG BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
693 PRESIDENT PL, 103, SMYRNA, TN 37167-8600
(615) 223-6900
(615) 223-9441
Mailing address
693 PRESIDENT PL, 103, SMYRNA, TN 37167-8600
(615) 223-6900
(615) 223-9441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26283
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3812619
—
TN
01
—
38126191
MEDICARE ID
TN
Enumeration date
11/23/2005
Last updated
08/19/2008
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