Individual
DAVID M BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
336 W OLD ANDREW JOHNSON HWY, JEFFERSON CITY, TN 37760-5275
(865) 475-6097
Mailing address
1220 HUNTINGTON RD, KNOXVILLE, TN 37919-8420
(918) 457-0341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3833
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
TN
Enumeration date
03/18/2019
Last updated
10/17/2022
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