Individual
DR. STUART BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 S NOVA RD, ORMOND BEACH, FL 32174-6117
(386) 672-9440
Mailing address
924 HICKMAN RD, UNIT C, AUGUSTA, GA 30904-6720
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN23905
FL
Other
Enumeration date
03/14/2016
Last updated
12/09/2020
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