Individual
JOHN B BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 CAMBRIDGE AVE W, GREENWOOD, SC 29646-2191
(864) 396-5268
(864) 396-5269
Mailing address
313 MAIN ST STE B, GREENWOOD, SC 29646-2757
(864) 388-0301
(864) 943-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82314
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823149
—
SC
Enumeration date
05/21/2019
Last updated
11/06/2025
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