Individual
STEPHANIE KNOTT BEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 CHAPMAN HILL RD STE 201, CLEMSON, SC 29631-2194
(864) 653-4071
(864) 653-4074
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1458
SC
Other
Enumeration date
09/19/2010
Last updated
02/21/2023
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