Organization
BEVERIDGE MEDICAL ASSOCIATES, LLC
Active
Organization
BEVERIDGE MEDICAL ASSOCIATES, LLC
Active
Parent organization
WAYNE D. BEVERIDGE, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE D. BEVERIDGE, MD
Authorized official
WAYNE D BEVERIDGE MD (PHYSICIAN)
(706) 774-0478
Entity
Organization
Contact information
Practice address
818 SAINT SEBASTIAN WAY, SUITE 408, AUGUSTA, GA 30901-2651
(706) 774-0478
(706) 774-0876
Mailing address
818 SAINT SEBASTIAN WAY, SUITE 408, AUGUSTA, GA 30901-2651
(706) 774-0478
(706) 774-0876
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
020405
GA
Other
Enumeration date
12/11/2007
Last updated
12/09/2014
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