Individual
DR. LEE GRANGER BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
101537
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17972
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
64720
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216240B
—
OK
05
—
203381017
—
MO
Enumeration date
12/22/2005
Last updated
11/14/2025
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