Individual
DR. JOHN WAYNE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1276 MCCONNELL DR, SUITE B, DECATUR, GA 30033-3508
(404) 633-7143
(404) 633-7143
Mailing address
1276 MCCONNELL DR, SUITE B, DECATUR, GA 30033-3508
(404) 633-7143
(404) 633-7143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001548
GA
Other
Enumeration date
11/04/2008
Last updated
10/18/2012
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