Individual
CHRISTOPHER DONOVAN BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
184 E 2ND AVE, SUITE 1, WILLIAMSON, WV 25661-3602
(304) 235-1844
(304) 235-2933
Mailing address
PO BOX 300, WILLIAMSON, WV 25661-0300
(304) 235-1844
(304) 235-2933
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
1875
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810619000
—
WV
05
—
64078678
—
KY
Enumeration date
05/17/2006
Last updated
01/26/2010
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