Individual
DR. GEORGE M BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7037 ST ANDREWS RD, COLUMBIA, SC 29212-1177
(803) 732-0963
(803) 407-4101
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11832
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118321
—
SC
Enumeration date
07/21/2006
Last updated
10/13/2020
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