Provider Demographics
NPI:1518995000
Name:BECK'S HEALTHCARE, LLC
Entity Type:Organization
Organization Name:BECK'S HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-782-5044
Mailing Address - Street 1:PO BOX 1947
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:GA
Mailing Address - Zip Code:30525-0049
Mailing Address - Country:US
Mailing Address - Phone:706-244-1096
Mailing Address - Fax:706-782-5044
Practice Address - Street 1:3886 GA HIGHWAY 17 RD
Practice Address - Street 2:SUITE A-5
Practice Address - City:EASTANOLLEE
Practice Address - State:GA
Practice Address - Zip Code:30538-3810
Practice Address - Country:US
Practice Address - Phone:706-244-1096
Practice Address - Fax:706-782-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6540Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER