Individual
DR. CHARLES BRITTON BEASLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3111 NORTHSIDE AVE STE 200, RICHMOND, VA 23228-5441
(804) 625-4494
Mailing address
3111 NORTHSIDE AVE STE 200, RICHMOND, VA 23228-5441
(267) 417-9078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101270868
VA
2084P0800X
Psychiatry Physician
273356
NY
2084P0800X
Psychiatry Physician
MD453693
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101270868
VA LICENSE
VA
Enumeration date
05/14/2010
Last updated
06/16/2025
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