Doctor Name: | TANYA DENISE BECKFORD |
NPI Number: | 1003017526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 244284 |
Business Practice Address: | 1279 Highway 54 W Suite 220 Fayetteville, GA - 302144550 |
Business Phone Number: | 7709912200 |
Business Fax Number: | 7707168672 |
Mailing Address: | 1279 Highway 54 W, Suite 220 FAYETTEVILLE |
State: | GA |
Postal Code: | 302144550 |
Phone Number: | 7709912200 |
Fax Number: | 7707168672 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 244284 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |