Individual
DR. THOMAS M BEAZLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 BUTLER FARM RD, SUITE I, HAMPTON, VA 23666-1564
(757) 251-7469
(757) 251-7470
Mailing address
501 BUTLER FARM RD, SUITE I, HAMPTON, VA 23666-1564
(757) 251-7469
(757) 251-7470
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101027653
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5880246
—
VA
Enumeration date
09/16/2006
Last updated
10/31/2007
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