Individual
STEPHEN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
763 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(678) 985-2000
Mailing address
763 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(678) 985-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
390200000X -
GA
207RG0100X
Gastroenterology Physician
Primary
84807
GA
Other
Enumeration date
09/08/2013
Last updated
06/01/2020
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