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Individual

TIMOTHY B BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 497-5929
(843) 497-9940
Mailing address
4615 OLEANDER DR, MYRTLE BEACH, SC 29577-5741
(843) 497-5929
(843) 497-9940

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
911
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009118
SC
Enumeration date
07/19/2005
Last updated
05/01/2009
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