Provider Demographics
NPI:1184859530
Name:BEATY, NARLIN B JR (MD)
Entity Type:Individual
Prefix:
First Name:NARLIN
Middle Name:B
Last Name:BEATY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 CENTERVILLE RD.
Mailing Address - Street 2:STE. 300
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-877-5115
Mailing Address - Fax:850-656-3645
Practice Address - Street 1:1401 CENTERVILLE RD STE 300
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4639
Practice Address - Country:US
Practice Address - Phone:850-877-5115
Practice Address - Fax:850-656-3645
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131692207T00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery