Charles Walker Beeson, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Tybee Island, GA
NPI 1447488341 · NPPES record last updated Jun 30, 2009
Key facts
- NPI
- 1447488341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 10100 (GA)
- Practice address
- 2 Sandalwood Court
Tybee Island, GA 31328-2901 - Phone
- (912) 786-0051
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10100 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 10100 | GA | Yes |
Addresses
Primary practice location
2 Sandalwood Court
Tybee Island, GA 31328-2901
Mailing address
2 Sandalwood Court
P O Box 2901
Tybee Island, GA 31328-2901
Phone (912) 786-0051
Other providers in Tybee Island, GA
- Adk Oceanside Operator, LLC
- Adk Savannah Beach Operator, LLC
- Lora Angelini
- Beach Medical LLC
- Amber Rose Brown
- Cathy Lunsford LLC
- Edward Coleman Crawford
- Thomas M. Green
- Gregory a. Wilets, M.D. P.C.
All providers in Tybee Island, GA · Cardiovascular Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.