Individual
EDDIE B. BEATTY
Active
Individual
EDDIE B. BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,M.P.H., SC.D.
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
35-05-6408-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2439749
—
OH
01
—
316400223035
CARESOURCE CLINIC #
OH
01
—
316400223040
CARESOURCE LAB #
OH
Enumeration date
07/10/2006
Last updated
07/17/2007
Update your record
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