Individual
JOHN CROSLAND BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 JOHN WESLEY GILBER DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2371
Mailing address
1103 OAKDALE RD, AUGUSTA, GA 30904-3300
(843) 862-8410
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DN123211
GA
Other
Enumeration date
03/09/2023
Last updated
07/31/2023
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