Individual
ANDREW L BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
303 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2392
(423) 282-5611
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 282-5611
(423) 282-5712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO0000002745
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q015494
—
TN
Enumeration date
04/01/2012
Last updated
02/13/2025
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