Individual
MR. ERIC WILLIAM BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
144 JACK FARRAR LN, TULLAHOMA, TN 37388-2398
(931) 962-2272
(931) 962-8846
Mailing address
144 JACK FARRAR LN, TULLAHOMA, TN 37388-2398
(931) 962-2272
(931) 962-8846
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6203
TN
363A00000X
Physician Assistant
Primary
PA9108387
FL
363AS0400X
Surgical Physician Assistant
PA9108387
FL
Other
Enumeration date
11/14/2014
Last updated
07/07/2026
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