Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 22163 | MS |
N | 207QS0010X | Family Doctor - Sports Medicine | 48835 | TN |
NPI | 1306942297 |
---|---|
Provider Name | Dr. Nahum M Beard |
First Address | Germantown, TN 38138-2205 |
Second Address | Southaven, MS 38671-5806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 01/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09843030 | (05) | MS |
194835001 | (05) | AR |
Q016978 | (05) | TN |