Jerry Stephen Beam in Hattiesburg - Adult Medicine
Jerry Stephen Beam - NPI 1619061421
Jerry Stephen Beam is a Adult Medicine in Hattiesburg, Mississippi. Jerry Stephen Beam practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Jerry Stephen Beam is 1619061421. The last update date is 2007-07-08.
Jerry Stephen Beam's current location address is 231 Methodist Hospital Blvd, Hattiesburg, Mississippi. You can contact this provider via phone number 6012688088 and fax number 6012688087. The mailing address for Jerry Stephen Beam is 231 Methodist Hospital Blvd, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Stephen Beam |
|---|---|
| Address | 231 Methodist Hospital Blvd, Hattiesburg, Mississippi |
| Phone Number | 6012688088 |
| Fax Number | 6012688087 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619061421 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 231 Methodist Hospital Blvd |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394021297 |
| Phone Number | 6012688088 |
| Fax Number | 6012688087 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 10674 |
|
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry Stephen Beam by the Centers for Medicare & Medicaid Services?
The Jerry Stephen Beam has been assigned the NPI (National Provider Identifier) 1619061421 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerry Stephen Beam?
The Jerry Stephen Beam is situated at 231 Methodist Hospital Blvd, in the city of Hattiesburg, state of MS, with the zip code 394021297.
What is Jerry Stephen Beam's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry Stephen Beam's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.
On what date did the Jerry Stephen Beam receive its 1619061421 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Stephen Beam was assigned its 1619061421 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information related to Jerry Stephen Beam most recently updated or refreshed?
The details pertaining to the Jerry Stephen Beam, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.