Individual
DR. STEPHEN KENN BEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H., FACS
Contact information
Practice address
5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
(662) 282-4226
(662) 282-7946
Mailing address
PO BOX 40, MANTACHIE, MS 38855-0040
(662) 282-4226
(662) 282-7946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13262
MS
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
13262
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
13262
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110443
—
MS
Enumeration date
06/14/2011
Last updated
09/28/2011
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