Individual
MR. MICHAEL S BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PATEWOOD DR STE B400, GREENVILLE, SC 29615-6306
(864) 454-4368
(864) 241-9232
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 434-1335
(304) 340-2204
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
22238
WV
207Y00000X
Otolaryngology Physician
Primary
86493
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005476
—
WV
Enumeration date
06/13/2006
Last updated
05/20/2026
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