Individual
DR. STEPHEN MAYES BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 DIXIE MEADOWS DRIVE, LENOIR CITY, TN 37772
(865) 456-9777
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2005024056
MO
207P00000X
Emergency Medicine Physician
Primary
41538
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161383001
—
AR
05
—
207617903
—
MO
05
—
3819979
—
TN
01
—
4133000
BC BS
TN
05
—
7100009690
—
KY
01
—
P00342767
RAILROAD MEDICARE
TN
Enumeration date
05/26/2006
Last updated
11/15/2007
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