Provider Demographics
NPI:1821584210
Name:BECK, CARRIE M (FMCHC)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:M
Last Name:BECK
Suffix:
Gender:F
Credentials:FMCHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3927 CRAB ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1823
Mailing Address - Country:US
Mailing Address - Phone:704-604-4633
Mailing Address - Fax:
Practice Address - Street 1:3927 CRAB ORCHARD LN
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-1823
Practice Address - Country:US
Practice Address - Phone:704-604-4633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator