Individual
DR. TREVOR BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1200 JOHNSON FERRY RD STE 150, MARIETTA, GA 30068-5403
(770) 971-9820
(770) 971-9822
Mailing address
1200 JOHNSON FERRY RD STE 150, MARIETTA, GA 30068-5403
(770) 971-9820
(770) 971-9822
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
135000748
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001255
GA
Other
Enumeration date
07/06/2011
Last updated
03/26/2018
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