Individual
CALEB JORDAN BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3399 STRAUSS AVE STE 219, INDIAN HEAD, MD 20640-5164
(904) 718-1179
Mailing address
3399 STRAUSS AVE STE 219, INDIAN HEAD, MD 20640-5164
(904) 718-1179
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
02/03/2022
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