Individual
MARTHA D BEECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
195 E TOLLISON ST, BAXLEY, GA 31513-0120
(912) 367-0434
(912) 367-0436
Mailing address
PO BOX 2070, BAXLEY, GA 31515-2070
(912) 367-9841
(912) 367-0436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN124430
GA
363L00000X
Nurse Practitioner
Primary
RN124430
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000807419B
—
GA
05
—
000807419C
—
GA
05
—
000807419D
—
GA
Enumeration date
07/03/2006
Last updated
02/09/2010
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