Provider Demographics
NPI:1639693476
Name:JAMES B BECKHAM MD PLLC
Entity Type:Organization
Organization Name:JAMES B BECKHAM MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:BECKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MD
Authorized Official - Phone:662-328-1862
Mailing Address - Street 1:PO BOX 1019
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39703-1019
Mailing Address - Country:US
Mailing Address - Phone:662-328-1862
Mailing Address - Fax:662-328-7597
Practice Address - Street 1:255 BAPTIST BLVD STE 307
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2006
Practice Address - Country:US
Practice Address - Phone:662-328-1862
Practice Address - Fax:662-328-7597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty