Provider Demographics
NPI:1083769236
Name:BECKETT, AYSLIN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:AYSLIN
Middle Name:MARIE
Last Name:BECKETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:149 DRINKWATER RD
Mailing Address - Street 2:
Mailing Address - City:BAY ST LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520-1658
Mailing Address - Country:US
Mailing Address - Phone:228-220-5200
Mailing Address - Fax:228-395-1294
Practice Address - Street 1:149 DRINKWATER RD
Practice Address - Street 2:
Practice Address - City:BAY ST LOUIS
Practice Address - State:MS
Practice Address - Zip Code:39520-1658
Practice Address - Country:US
Practice Address - Phone:228-220-5200
Practice Address - Fax:228-395-1294
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2019-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS23898207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine