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Individual

MRS. MARSHA D BECKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
270 HAWTHORNE AVE, ATHENS, GA 30606-2881
(706) 543-3599
(706) 543-8681
Mailing address
270 HAWTHORNE AVE, ATHENS, GA 30606-2881
(706) 543-3599
(706) 543-8681

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2000164540
MO
152W00000X
Optometrist
Primary
OPT002906
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
315306019
MO
Enumeration date
10/16/2006
Last updated
01/17/2022
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