Individual
FACIA BEYSOLOW DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
303 MEDICAL DR STE 406, LAGRANGE, GA 30240-4145
(706) 880-7119
(770) 999-2815
Mailing address
303 MEDICAL DR STE 406, LAGRANGE, GA 30240-4145
(706) 880-7119
(770) 999-2815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
85023
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/08/2018
Last updated
01/31/2022
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