Individual
DR. ROBERT O BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2336 DAWSON RD STE 1500, ALBANY, GA 31707-2802
(229) 312-8800
(229) 312-8895
Mailing address
500 W 3RD AVE STE 101, ALBANY, GA 31701-1900
(229) 312-5802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01087310A
IN
207Q00000X
Family Medicine Physician
87394
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/01/2019
Last updated
03/25/2022
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