Individual
STEPHEN L BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2616 WARM SPRINGS RD, COLUMBUS, GA 31904-5323
(706) 323-3491
(706) 660-9191
Mailing address
2616 WARM SPRINGS RD, COLUMBUS, GA 31904-5323
(706) 323-3491
(706) 660-9191
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751299905A
—
GA
Enumeration date
07/25/2006
Last updated
07/08/2007
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