Individual
TIMOTHY C. BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.SC.
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-3900
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
71666
GA
2080P0214X
Pediatric Pulmonology Physician
Primary
310171
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003145693A
—
GA
05
—
1913642
—
LA
Enumeration date
04/09/2009
Last updated
09/06/2018
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