Beasley, Virginia
Beasley, Virginia is an individual health care provider with primary practice located at 201 W A Ave , Easley SC 29640-2051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beasley, Virginia can be contacted via phone (864) 855-5104.Contact Information
Primary practice address
201 W A Ave
Easley SC 29640-2051
Phone: (864) 855-5104
Fax: (864) 859-9362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12605 | South Carolina |
Profile Details
| NPI number | 1093741266 |
|---|---|
| LBN Legal business name | Beasley, Virginia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 10th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093741266 | NPPES |
| South Carolina | MEDICAID | 126054 |
Popular Providers
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Chance, Marie Sue
303 Dacusville Hwy , Easley SC 29640-1510 -
Douglas, Frederick G
106 John Street , Easley SC 29640-1415 -
Dangler, Julie M
700 Brushy Creek Rd , Easley SC 29642-2200 -
Landry, Patricia A
309 E 1St Ave , Easley SC 29640-3040 -
Phipps, Myra Aurelia
303 Dacusville Hwy , Easley SC 29640-1510 -
Schober, Bruce R
109B Fleetwood Dr , Easley SC 29640-2019 -
Oliver, Marcia A.
115 Brushy Creek Rd , Easley SC 29642-1120 -
Welborn, Michael Keasler
115 Brushy Creek Rd , Easley SC 29642-1120