Individual
DORIS GAY BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 NORTHRIDGE DR, HILTON HEAD ISLAND, SC 29926-3764
(843) 681-6612
Mailing address
31 OLD FORT DR, HILTON HEAD ISLAND, SC 29926-2601
(843) 681-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03621700
NJ
207R00000X
Internal Medicine Physician
Primary
VL 47
SC
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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