Individual
VIRGINIA BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 W A AVE, EASLEY, SC 29640-2051
(864) 855-5104
(864) 859-9362
Mailing address
201 W A AVE, EASLEY, SC 29640-2051
(864) 855-5104
(864) 859-9362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12605
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126054
—
SC
Enumeration date
06/23/2006
Last updated
02/10/2010
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