Female

Mary M. Beauchamp M.D.

Otolaryngology Physician in Rome, GA(View on Map)

Full Name

Mary Margaret Beauchamp M.D.

NPI Number

1366496903

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/19/2006

Specialties

(Taxonomies)

Code

207Y00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

056960

Contact
Information

Purpose

Mailing
Location

Address

221 TECHNOLOGY PKWY NW
1825 MARTHA BERRY BLVD NW

City

Rome
Rome

State

GA
GA

Postal Code

30165-1369
30165-1625

Country

US
US

Telephone Number

(762) 235-1000
(706) 295-5331

Identifiers

Identifier

652877185A
652877185C
652877185B

Identifier State

GA
GA
GA

Identifier Issuer

Unknown
Unknown
Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mary.beauchamp.1@1498.direct.athenahealth.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1825 Martha Berry Blvd NWRome, GA301651625US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/23/2020

Provider Address

Other Otolaryngology Physicians in Rome, Georgia:

Male or Other

Brandon Miller MD

Rome, GA

Specialty: Otolaryngology Physician (Primary)

Male or Other

Toby Morgan M.D.06

Rome, GA

Specialty: Otolaryngology Physician (Primary)

Male or Other

Robert King MD

Rome, GA

Specialty: Otolaryngology Physician (Primary)

Male or Other

Raymond Howard M.D.

Rome, GA

Specialties: Otolaryngology Physician (Primary)Facial Plastic Surgery Physician