NPI 1699796094 · live from the CMS NPI Registry
Alton James Beaubeouf, D.C.
Chiropractor in Bamberg, SC. National Provider Identifier 1699796094, active.
NPI record
| NPI | 1699796094 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 3288 Railroad Ave, Bamberg, SC 29003 |
| Practice phone | 803-245-4742 |
| Mailing address | Po Box 988, Bamberg, SC 29003 |
| Enumerated | July 21, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 1350 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.