Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA10577800 | NJ |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 84826 | SC |
NPI | 1124461033 |
---|---|
Provider Name | David M Beck |
First Address | Conway, SC 29526-9142 |
Second Address | Conway, SC 29526-8945 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 08/07/2021 |