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Contact Information

CHARLES T BEAVERS, MD
6019 WALNUT GROVE RD
MEMPHIS, TN38120-2113
 Phone: 901-227-5135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHARLES T BEAVERS · (Male)

NPI # 1235371691
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2009
Last updated 12/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-45362
  • MO License # 2014007653
  • TN License # 73079
  • KS Other 04-45362 LICENSE
Hospital affiliation(s)
  • MERCY HOSPITAL JOPLIN - (Acute Care)
    2817 ST JOHNS BLVD
    JOPLIN, MO 64804
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
  • ST EDWARD MERCY MEDICAL CENTER - (Acute Care)
    7301 ROGERS AVE
    FORT SMITH, AR 72917
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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