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Individual

MARCIA BEAUCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1106 FOUNTAIN PARK CIR, BRUNSWICK, GA 31520-4806
(912) 262-2151
(912) 262-2754
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-8907
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000279
GA

Other

Enumeration date
04/16/2018
Last updated
04/16/2018
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