Individual
ANGIE D BEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 MAULDIN RD, JEFFERSON, GA 30549-1315
(706) 202-3985
Mailing address
337 MAULDIN RD, JEFFERSON, GA 30549-1315
(706) 202-3985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1837
GA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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