Mr Gregory Beacham Ii, | |
7700 Old Branch Ave, Clinton, MD 20735-1628 | |
(202) 649-0506 | |
Not Available |
Full Name | Mr Gregory Beacham Ii |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 7700 Old Branch Ave, Clinton, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164889390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | M04919 (Maryland) | Primary |
225700000X | Massage Therapist | MT1474 (District Of Columbia) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Gregory Beacham Ii, 8201 Sonar Rd, Clinton, MD 20735-2962 Ph: (202) 649-0506 | Mr Gregory Beacham Ii, 7700 Old Branch Ave, Clinton, MD 20735-1628 Ph: (202) 649-0506 |
Elizabeth Zander Hale, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9118 Simpson Ln, Clinton, MD 20735 Phone: 410-991-8733 | |
Roshaud L Lewis, RMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8969 Woodyard Rd, Clinton, MD 20735 Phone: 301-868-1961 |