Individual
THOMAS MARION BEAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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