Provider Demographics
NPI:1104141761
Name:BESHEARS, JOE C (MD)
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:C
Last Name:BESHEARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:P.O. BOX 10005
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-2005
Mailing Address - Country:US
Mailing Address - Phone:256-768-9509
Mailing Address - Fax:256-768-9715
Practice Address - Street 1:205 MARENGO ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-6033
Practice Address - Country:US
Practice Address - Phone:256-768-9509
Practice Address - Fax:256-768-9715
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL32750207R00000X
KYIP1161207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYIP1161OtherINSTITUTIONAL - UNIVERSITY OF KENTUCKY