Individual
DR. NATHAN EDWARD BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
936 MARKET ST, SUITE 206, FORT MILL, SC 29708-6562
(803) 548-4400
(803) 548-4414
Mailing address
936 MARKET ST, SUITE 206, FORT MILL, SC 29708-6562
(803) 548-4400
(803) 548-4414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3875
WV
1223E0200X
Endodontics
Primary
7144
SC
1223E0200X
Endodontics
9190
NC
Other
Enumeration date
06/24/2009
Last updated
01/22/2013
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