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Dlivro L Beauchamp

  • Male

Medical Specialty

Professional ID

  • NPI: 1205803327
  • PECOS ID: 2769452796
  • Enrollment ID: I20040728000500
  • Credential(MD, DO, DPM): MD
  • Medical School: Howard University College Of Medicine
  • Medical School Graduation Year: 1994

Hospital Service

  • Hospital CCN1: 010150
  • Business Name (LBN)1: L V Stabler Memorial Hospital

Medical Practices

  • Organization Name: Obelisk Healthcare
  • Group Practice ID assigned by PECOS: 8921078940
  • Number of Group Practice member: 0

Location

  • Address1: 4705 Woodmere Blvd
  • Address2:
  • City: Montgomery
  • State: Alabama
  • Zip Code: 36106
  • Phone Number: (334)558-0262

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes