Individual
TAMMY MICHELE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDN CEDS-S
Contact information
Practice address
3011 BASSWOOD WAY SE, BROWNSBORO, AL 35741-9391
(256) 682-2301
Mailing address
3011 BASSWOOD WAY SE, BROWNSBORO, AL 35741-9391
(256) 682-2301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1257
AL
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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