Doctor Name: | CAROL MELTZER BECKENHAUER |
NPI Number: | 1013085851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 2726 |
Business Practice Address: | 12016 N Radio Station Rd Seneca, SC - 296781143 |
Business Phone Number: | 8648826141 |
Business Fax Number: | 8648826680 |
Mailing Address: | 1 Independence Pt, Suite 212 GREENVILLE |
State: | SC |
Postal Code: | 296154545 |
Phone Number: | 8647976044 |
Fax Number: | 8647976198 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2726 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |