Individual
JOHN G. BEASLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CHEVES ST STE 350, FLORENCE, SC 29506-2649
(843) 777-7555
(843) 777-7563
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17214
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T11496
—
SC
Enumeration date
07/27/2006
Last updated
01/08/2026
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