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Individual

BRYAN DAVIS BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC/L

Contact information

Practice address
2659 ABUTMENT RD, DALTON, GA 30721-4887
(706) 532-6700
Mailing address
225 GOVERNORS CT, CARTERSVILLE, GA 30121-4272
(615) 604-3399

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
AT002017
GA

Other

Enumeration date
04/29/2010
Last updated
12/17/2013
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