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Individual

ANGELA NIEDBALA BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4700 WATERS AVE, 2ND FLOOR, GA EAR BLDG., SAVANNAH, GA 31404-6220
(912) 350-7412
(912) 350-7297
Mailing address
4700 WATERS AVE, 2ND FLOOR, GA EAR BLDG., SAVANNAH, GA 31404-6220
(912) 350-7412
(912) 350-7297

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
052476
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10063434
AMERIGROUP
GA
01
349714
WELLCARE
GA
05
992287413A
GA
05
G52476
SC
01
P00246459
RAILROAD MEDICARE
GA
01
P00431539
RAILROAD MEDICARE
SC
Enumeration date
07/07/2006
Last updated
06/04/2009
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