Provider Demographics
NPI:1578862496
Name:BEGGS, JOAN CRAWFORD (RPH)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:CRAWFORD
Last Name:BEGGS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4281 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-8342
Mailing Address - Country:US
Mailing Address - Phone:706-886-6316
Mailing Address - Fax:864-647-8343
Practice Address - Street 1:300 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:SC
Practice Address - Zip Code:29693-1719
Practice Address - Country:US
Practice Address - Phone:864-647-5051
Practice Address - Fax:864-647-8343
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPH10625183500000X
GARPH012683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist