Provider Demographics
NPI:1891827150
Name:BECK, WILLIAM DONALD III
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DONALD
Last Name:BECK
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1937 MCDADE RD
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-4718
Mailing Address - Country:US
Mailing Address - Phone:706-751-0221
Mailing Address - Fax:706-751-0223
Practice Address - Street 1:1937 MCDADE RD
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-4718
Practice Address - Country:US
Practice Address - Phone:706-751-0221
Practice Address - Fax:706-751-0223
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other