Individual
CELESTE BEARD BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
213 HALTON RD, GREENVILLE, SC 29607-3509
(864) 382-4000
(864) 382-4040
Mailing address
P.O. BOX 743294, ATLANTA, GA 30374-3294
(864) 382-4000
(864) 382-4040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37136
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371369
—
SC
Enumeration date
07/07/2010
Last updated
12/30/2015
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