Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 027344 | GA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 027344 | GA |
NPI | 1770585713 |
---|---|
Provider Name | James L Beskin |
First Address | Atlanta, GA 30309-1476 |
Second Address | Atlanta, GA 30309-1476 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 16/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00495481A | (05) | GA |
0486290001 | DME (01) | |
B64166 | (02) |