Provider Demographics
NPI:1194996686
Name:BEAMON, CHARLES RALPH III (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:RALPH
Last Name:BEAMON
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1051 CARE WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-8425
Mailing Address - Country:US
Mailing Address - Phone:540-374-3131
Mailing Address - Fax:540-374-3134
Practice Address - Street 1:1051 CARE WAY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8425
Practice Address - Country:US
Practice Address - Phone:540-374-3131
Practice Address - Fax:540-374-3134
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2011-11-29
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Provider Licenses
StateLicense IDTaxonomies
MN50604208800000X
VA50604208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology