NPI 1104931203 · live from the CMS NPI Registry
Paul Richard Beck, M.D.
Orthopaedic Surgery, Sports Medicine in Stockbridge, GA. National Provider Identifier 1104931203, active.
NPI record
| NPI | 1104931203 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 175 Country Club Dr, Building 100, Suite E, Stockbridge, GA 30281 |
| Practice phone | 770-507-5000 |
| Enumerated | August 20, 2006 |
| Last updated | November 6, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 036-114125 (IL) |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 66755 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.