Provider Demographics
NPI:1154325934
Name:BEELER, SYNTHIA L (MD)
Entity Type:Individual
Prefix:DR
First Name:SYNTHIA
Middle Name:L
Last Name:BEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 11543
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37401-2543
Mailing Address - Country:US
Mailing Address - Phone:423-877-2312
Mailing Address - Fax:423-877-5855
Practice Address - Street 1:7446 SHALLOWFORD RD
Practice Address - Street 2:STE 200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-8815
Practice Address - Country:US
Practice Address - Phone:423-643-3772
Practice Address - Fax:423-643-3773
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2009-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN31124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H19780Medicare UPIN