Individual
JUSTIN RICHARD BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E 3RD ST STE B-401, CHATTANOOGA, TN 37403-2136
(423) 778-7695
Mailing address
979 E 3RD ST STE B-401, CHATTANOOGA, TN 37403-2136
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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