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Individual

DR. ROBERT ALAN BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1940 NORTH JACKSON STREET, SUITE 150, TULLAHOMA, TN 37388
(931) 563-8003
Mailing address
102 DUNHILL PLACE, CLEVELAND, TN 37311
(423) 472-1567
(423) 476-7918

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD011102
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3197792
TN
Enumeration date
03/17/2006
Last updated
06/21/2010
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