Individual
THOMAS JOHNSON BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 371-4442
(615) 810-8952
Mailing address
305 HOLIDAY HILLS DR, WILMINGTON, NC 28409-3517
(910) 465-2788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501174
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891036U
—
NC
Enumeration date
08/01/2006
Last updated
03/28/2017
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