Individual
MATTHEW DEAN BEASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 112, ABINGDON, VA 24211-7664
(276) 258-3780
(276) 258-3776
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101227652
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101227652
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD0000034330
TN
208000000X
Pediatrics Physician
0101227652
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962495853
—
VA
05
—
3852989
—
TN
01
—
P01569581
RAILROAD MEDICARE
VA
Enumeration date
08/25/2005
Last updated
02/26/2024
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