Individual
DR. MITCHELL DREW BEATUS
Active
Individual
DR. MITCHELL DREW BEATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD26466
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121243
—
MS
01
—
110105498
RAILROAD MEDICARE
GA
05
—
139226001
—
AR
05
—
3090636
—
TN
Enumeration date
05/31/2006
Last updated
08/31/2011
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