Individual
MICHAEL LAWRENCE BECKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7060
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25533
SC
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
25533
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255333
—
SC
Enumeration date
05/10/2006
Last updated
12/20/2016
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