Individual
DR. BROADUS MONROE BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MEDICAL PARK BLVD, SUITE 3800, BRISTOL, TN 37620-7346
(423) 990-2466
(423) 990-2407
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 857-2012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000014671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513307
—
TN
05
—
1992715742
—
VA
Enumeration date
08/08/2006
Last updated
09/16/2009
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