William Donald Beck III

Individual provider Active NPI Other Technician · Hephzibah, GA

NPI 1891827150 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891827150
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
1937 McDade Rd
Hephzibah, GA 30815-4718
Phone
(706) 751-0221
Fax
(706) 751-0223
NPI assigned
Mar 12, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

1937 McDade Rd
Hephzibah, GA 30815-4718

Mailing address

1937 McDade Rd
Hephzibah, GA 30815-4718
Phone (706) 751-0221

Other providers in Hephzibah, GA

All providers in Hephzibah, GA · Other Technician in Georgia

Sources for this page

Verify at the official NPI Registry.