Individual
JOSUE BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6003 VETERANS PKWY STE 100, COLUMBUS, GA 31909-6284
(706) 223-1933
(706) 223-1934
Mailing address
6003 VETERANS PKWY STE 100, COLUMBUS, GA 31909-6284
(706) 223-1933
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26316
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009992945
—
AL
01
—
051533945
TROY - BCBS
AL
01
—
051555748
SPS - BCBS
AL
01
—
051555749
OSC - BCBS
AL
01
—
051555750
EBHS - BCBS
AL
Enumeration date
07/15/2006
Last updated
07/12/2023
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