Individual
WILSON C. BEAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1027 ALTAMONT RD, GREENVILLE, SC 29609-6203
(865) 705-3526
Mailing address
1027 ALTAMONT RD, GREENVILLE, SC 29609-6203
(865) 705-3526
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
36290
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050011295
UHC MEDICARE
TN
01
—
100010198
PHP TENNCARE
TN
01
—
2002578
BLUE CROSS
TN
05
—
3081811
—
TN
Enumeration date
06/14/2005
Last updated
06/05/2024
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