Jonathan David Beck, PAC

Physician Assistant · Canton, GA

Individual Active NPI

NPI number 1679822308

Practice location

470 Northside Cherokee Blvd Ste 170
Canton, GA 30115-8029
Phone
(770) 721-9540
Fax
(770) 721-9541

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NPI record

NPI
1679822308
Entity type
Individual (Type 1)
Enumeration date
September 10, 2012
Last updated
January 8, 2020
Certified
January 8, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 6636 GA
Physician Assistant 363A00000X — —

Mailing address

1467 Brookfield Dr
Morristown, TN 37814-8002

About Jonathan Beck

Jonathan David Beck, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 470 Northside Cherokee Blvd Ste 170, Canton, GA 30115-8029. The NPI number 1679822308 was assigned on September 10, 2012 and the record was last updated on January 8, 2020.

Jonathan Beck lists a license in the registry: #6636 (GA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan David Beck, PAC?

The NPI number is 1679822308.

What is the phone number of Jonathan Beck?

The phone number listed for the practice location is (770) 721-9540.

Where is Jonathan Beck located?

470 Northside Cherokee Blvd Ste 170, Canton, GA 30115-8029.

What is the taxonomy code for Jonathan Beck?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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