Individual
MR. JESS OWEN BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13320 G.C. PEERY HWY, POUNDING MILL, VA 24637
(276) 596-9116
(276) 596-9139
Mailing address
PO BOX 2, TAZEWELL, VA 24651-0002
(276) 596-9116
(276) 596-9139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007751
VA
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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