Individual
DR. CHARLES BEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3505 LOST TREE LN, AUGUSTA, GA 30907-9516
(786) 493-8482
Mailing address
3505 LOST TREE LANE, AUGUSTA, GA 30907
(786) 493-8482
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690005255
RAILROAD
—
Enumeration date
06/29/2006
Last updated
07/21/2022
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