Individual
MR. GREGORY BEACHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7700 OLD BRANCH AVE, CLINTON, MD 20735-1628
(202) 649-0506
Mailing address
8201 SONAR RD, CLINTON, MD 20735-2962
(202) 649-0506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04919
MD
225700000X
Massage Therapist
MT1474
DC
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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