Individual
DR. SCOTT R BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3970 DEPUTY BILL CANTRELL MEMORIAL RD, STE 100, CUMMING, GA 30040
(678) 513-2273
(678) 513-8869
Mailing address
3970 DEPUTY BILL CANTRELL MEMORIAL RD, STE 100, CUMMING, GA 30040
(678) 513-2273
(678) 513-8869
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
63832
GA
207RI0011X
Interventional Cardiology Physician
ME103747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342776731D
—
GA
05
—
342776731E
—
GA
Enumeration date
06/04/2009
Last updated
06/30/2025
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