Individual
MR. JOSEPH RANDALL PAGE BEAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
620 J L WHITE DR STE 110, JASPER, GA 30143-4897
(404) 367-2088
(706) 692-1199
Mailing address
PO BOX 949, ROME, GA 30162-0949
(404) 367-2088
(706) 692-1199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013226
GA
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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