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Individual

DR. JAMES P BECKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 W RAVINE RD, SUITE 3A, KINGSPORT, TN 37660-3837
(423) 224-3220
(423) 224-3233
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35292
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010010128
VA
05
3864978
TN
Enumeration date
03/01/2006
Last updated
07/10/2012
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