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Individual

DR. WILLIAM EDWARD BEASLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1005 W MARKET ST, SUITE 7, ATHENS, AL 35611-2454
(256) 233-1613
(256) 233-2391
Mailing address
1005 W MARKET ST, SUITE 7, ATHENS, AL 35611-2454
(256) 233-1613
(256) 233-2391

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7495
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51001935
BLUE CROSS
AL
Enumeration date
01/24/2006
Last updated
07/08/2007
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