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Individual

DR. JOHN WILLIAM BECKNER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
79 HIGHWAY 286 UNIT B, ETON, GA 30705-6501
(706) 971-3757
Mailing address
79 HIGHWAY 286 UNIT B, ETON, GA 30705-6501
(706) 280-5830

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
061694
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003104047G
GA
01
02036288
AMERIGROUP
GA
01
983434
WELLCARE
GA
01
P01366679
RR MEDICARE
GA
Enumeration date
01/21/2007
Last updated
05/07/2026
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