Individual
DR. JENNIFER F. BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
135 COMMONWEALTH DR STE 210, GREENVILLE, SC 29615-4850
(864) 675-4815
Mailing address
4975 LACROSS RD STE 110, NORTH CHARLESTON, SC 29406-6531
(843) 797-1941
(843) 574-1698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
212870
SC
208600000X
Surgery Physician
Primary
910
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009109
—
SC
Enumeration date
12/21/2005
Last updated
07/24/2025
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