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Contact Information

ALLEN R BEECHAM, DO
2000 VILLAGE PROFESSIONAL DR
SUITE 200
CANTON, GA30114-8498
 Phone: 678-661-4545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALLEN R BEECHAM · (Male)

NPI # 1578594057
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/05/2006
Last updated 03/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 025102
  • GA Medicaid 000318447G
Hospital affiliation(s) Not Available
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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