Individual
MR. MICHAEL SCOTT BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS PAC
Contact information
Practice address
2725 KEITH STREET NW, CLEVELAND, TN 37312
(423) 476-3330
(472) 476-5802
Mailing address
2725 KEITH STREET NW, CLEVELAND, TN 37312
(423) 476-3330
(472) 476-5802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000148
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4009401
BCBS
—
Enumeration date
02/02/2007
Last updated
12/30/2010
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