Individual
DR. PHILLIP L. BEAULIEU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 25TH AVE N STE 203, NASHVILLE, TN 37203-1593
(615) 815-1560
(615) 610-1199
Mailing address
PMB #382, 5133 HARDING PIKE, B-10, NASHVILLE, TN 37205-2891
(615) 815-1560
(615) 610-1199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
45139
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
45139
TN
208VP0000X
Pain Medicine Physician
45139
TN
208VP0014X
Interventional Pain Medicine Physician
45139
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516715
—
TN
Enumeration date
11/14/2006
Last updated
08/04/2022
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