Individual
DR. DERRICK J. BEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 442-5700
Mailing address
7080 CANONBURY PL, ATLANTA, GA 30328-1934
(615) 887-1114
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
056091
GA
2086X0206X
Surgical Oncology Physician
056091
GA
2086X0206X
Surgical Oncology Physician
53390
AZ
2086X0206X
Surgical Oncology Physician
Primary
MD-18903
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114446A
—
GA
05
—
3839168
—
TN
Enumeration date
03/07/2006
Last updated
10/02/2018
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