Individual
DR. CHARLES MERRITT BEASLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8161 BEECH KNLS, INDIANAPOLIS, IN 46256-2107
(317) 578-2714
(317) 578-2801
Mailing address
8161 BEECH KNLS, INDIANAPOLIS, IN 46256-2107
(317) 578-2714
(317) 578-2801
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01045668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045668A
MEDICAL LICENSE
IN
Enumeration date
05/24/2007
Last updated
07/08/2007
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