Individual provider · Type 1 NPI

Trevor Beach, DPM

Foot & Ankle Surgery Podiatrist · Marietta, GA

NPI number 1790072247 Active

Practice location

1200 Johnson Ferry Rd Ste 150
Marietta, GA 30068-5403

Call (770) 971-9820 Map

Fax (770) 971-9822

Other practice locations

  • 1121 Johnson Ferry Rd, Suite 215, Marietta, GA 30068-5425 · (770) 971-9820

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X135000748 (IL)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD001255 (GA)

Foot & Ankle Surgery Podiatrist: Definition to come...

2 other providers at this address

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About NPI 1790072247

Trevor Beach, DPM's National Provider Identifier is 1790072247, issued on Jul 6, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Marietta, GA. The record was last updated on Mar 26, 2018.