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Contact Information

PAUL K BEACH, MD
2500 STARLING STREET
SUITE 201
BRUNSWICK, GA31520-4267
 Phone: 912-265-5125
 Fax: 912-261-0907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for PAUL K BEACH · (Male)

NPI # 1770672982
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 09/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 63629
  • GA Medicaid 707667089A
  • SC Other 0489056 AETNA
  • SC Other P00067751 RR MEDICARE
Hospital affiliation(s)
  • SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS - (Acute Care)
    2415 PARKWOOD DRIVE
    BRUNSWICK, GA 31520
  • SOUTHEAST GEORGIA HEALTH SYSTEM- CAMDEN CAMPUS - (Acute Care)
    2000 DAN PROCTOR DRIVE
    SAINT MARYS, GA 31558
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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