Basic Information
| Provider Information | |||||||||
| NPI: | 1154325934 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEELER | ||||||||
| FirstName: | SYNTHIA | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 11543 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374012543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4238772312 | ||||||||
| FaxNumber: | 4238775855 | ||||||||
| Practice Location | |||||||||
| Address1: | 7446 SHALLOWFORD RD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374218815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4236433772 | ||||||||
| FaxNumber: | 4236433773 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2005 | ||||||||
| LastUpdateDate: | 12/02/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 31124 | TN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.