Individual
THOMAS MARION BEAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1949 GUNBARREL RD, SUITE 100, CHATTANOOGA, TN 37421-3186
(423) 485-9200
(423) 485-9204
Mailing address
PO BOX 28415, CHATTANOOGA, TN 37424-8415
(423) 485-9200
(423) 485-9204
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
14704
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044234
BCBS
—
05
—
00801611X
—
GA
01
—
240004779
RAILROAD MEDICARE
—
05
—
3001086
—
TN
01
—
5226416
AETNA
—
01
—
5867028
AETNA
—
01
—
621656859
AETNA, UNITED, CIGNA
—
01
—
TN0101
JOHN DEERE
—
Enumeration date
08/24/2006
Last updated
06/23/2010
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