MR. DMARCUS JAMALL BEATTY (NPI# 1366884587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366884587 |
| Entity Type | Individual |
| Full Name | MR. DMARCUS JAMALL BEATTY |
| Credential | R.T. |
| Practice Address |
108 Londonberry Cir Columbia SC 29210-6057 |
| Practice Telephone | 8032109876 |
| Mailing Telephone | 8032109876 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 480889 | SC | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
108 LONDONBERRY CIR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295279636 | Cassie Elrod | Radiologic Technologist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2016-12-04 |
| 1275725574 | Amy L Craighead | Radiologic Technologist | 1 S Keene St, Columbia, MO 65201-7199 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558816926 | Michael Wayne Mason | Radiologic Technologist | 636 Long Point Rd, Unit 6 Box 31, Mt Pleasant, SC 29464-8286 | 2016-08-16 |
| 1093187148 | Erick B Young | Radiologic Technologist | 103 Chatfield Cir, Goose Creek, SC 29445-7092 | 2015-10-28 |
| 1730358227 | Davis H Maddux | Radiologic Technologist | 5 Bontwell Cir, Bluffton, SC 29910-6538 | 2008-02-28 |
| 1275574618 | Carolina Imaging Center LLC | Radiologic Technologist | 803 N Fant St, Anderson, SC 29621-5707 | 2006-06-09 |
Please comment or provide details below to improve the information on MR. DMARCUS JAMALL BEATTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.