Individual
MICHAEL BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
853 N CHURCH ST STE 620, SPARTANBURG, SC 29303-3070
(645) 737-5118
(864) 560-1690
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023546
MI
207R00000X
Internal Medicine Physician
89686
SC
207RG0100X
Gastroenterology Physician
Primary
89686
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101023546
STATE OF MICHIGAN
MI
Enumeration date
06/22/2017
Last updated
08/10/2023
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