Provider Demographics
NPI:1881602217
Name:BEILMAN, JOHN P (NP)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:P
Last Name:BEILMAN
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:300 E. HOSPITAL ROAD
Mailing Address - Street 2:DEPT OF MED. CARDIOLOGY
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905
Mailing Address - Country:US
Mailing Address - Phone:706-787-0684
Mailing Address - Fax:706-787-9237
Practice Address - Street 1:300 E. HOSPITAL ROAD
Practice Address - Street 2:DEPARTMENT OF MEDICINE; CARDIOLOGY
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5650
Practice Address - Country:US
Practice Address - Phone:706-787-0684
Practice Address - Fax:706-787-9237
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC2918363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202G700025Medicaid