Provider Demographics
NPI:1689358483
Name:BECKHAM COMPLETE HEALTH, PLLC
Entity Type:Organization
Organization Name:BECKHAM COMPLETE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-964-7990
Mailing Address - Street 1:5651 FRIST BLVD STE 701
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2061
Mailing Address - Country:US
Mailing Address - Phone:615-964-7990
Mailing Address - Fax:615-649-8079
Practice Address - Street 1:5651 FRIST BLVD STE 701
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2061
Practice Address - Country:US
Practice Address - Phone:615-964-7990
Practice Address - Fax:615-649-8079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty