Provider Demographics
NPI:1659670594
Name:BEATRICE CHAICHARNCHEEP
Entity Type:Organization
Organization Name:BEATRICE CHAICHARNCHEEP
Other - Org Name:BEATRICE CHAICHARNCHEEP, MD LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAICHARNCHEEP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-910-5356
Mailing Address - Street 1:P.O. BOX 43328
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-3328
Mailing Address - Country:US
Mailing Address - Phone:205-910-5356
Mailing Address - Fax:877-284-8933
Practice Address - Street 1:950 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6028
Practice Address - Country:US
Practice Address - Phone:205-910-5366
Practice Address - Fax:877-284-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26967261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical