Provider Demographics
NPI:1952610974
Name:BEECH, ERIN CANADY (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CANADY
Last Name:BEECH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 SYLVESTER ST
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-4073
Mailing Address - Country:US
Mailing Address - Phone:228-218-3716
Mailing Address - Fax:
Practice Address - Street 1:5831 SYLVESTER ST
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-4073
Practice Address - Country:US
Practice Address - Phone:228-218-3716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63936363A00000X
MS373363A00000X
AL723363A00000X
FL9118169363A00000X
NY312939363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant