Provider Demographics
NPI:1083040984
Name:BEVIER, BECKI LIN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:BECKI LIN
Middle Name:
Last Name:BEVIER
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:MS
Other - First Name:BECKI
Other - Middle Name:LIN
Other - Last Name:SHAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:570 LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-7930
Mailing Address - Country:US
Mailing Address - Phone:843-480-2273
Mailing Address - Fax:
Practice Address - Street 1:570 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7930
Practice Address - Country:US
Practice Address - Phone:843-480-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017035363A00000X
SC3580363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant