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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