Individual
MICHAEL JASON BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 UNION AVE, SUITE 500, MEMPHIS, TN 38104-6638
(901) 759-3100
(901) 759-5416
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-5416
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
54299
TN
207X00000X
Orthopaedic Surgery Physician
ME122807
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014977000
—
FL
05
—
08221043
—
MS
05
—
215864001
—
AR
05
—
Q025032
—
TN
Enumeration date
04/19/2010
Last updated
05/01/2018
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