Individual
BRIAN BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2085 HENRY TECKLENBURG DR STE 106, CHARLESTON, SC 29414-7711
(843) 958-2550
(843) 958-2599
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MMD39686
SC
208D00000X
General Practice Physician
LL39686
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
06/24/2016
Last updated
06/10/2024
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