Individual
RITA CAROL BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1309 HIGHWAY 35 S, FOREST, MS 39074-5010
(601) 469-9999
(601) 469-9933
Mailing address
4415 HENDERSON RD, JACKSON, MS 39272-5669
(601) 372-5843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R561193
MS
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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