Individual
COURTNEY L. BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-4600
(304) 388-4603
Mailing address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-4600
(304) 388-4603
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3420
WV
208M00000X
Hospitalist Physician
3420
WV
Other
Enumeration date
03/28/2016
Last updated
07/05/2023
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