Individual
BETHANY BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
(229) 903-1585
Mailing address
1576 HAGIN STILL RD, DOERUN, GA 31744-5301
(229) 881-4611
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN278891
GA
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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