Individual
DR. JIMMIE L. BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1998 HIGHWAY 51 S, COVINGTON, TN 38019-3623
(901) 476-1155
Mailing address
PO BOX 911, COVINGTON, TN 38019-0911
(901) 476-1155
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD008505
TN
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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