Provider Demographics
NPI:1457672917
Name:BEASLEY, EVAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:R
Last Name:BEASLEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:709 N JUSTICE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3454
Mailing Address - Country:US
Mailing Address - Phone:828-696-1255
Mailing Address - Fax:828-696-1257
Practice Address - Street 1:709 N JUSTICE ST
Practice Address - Street 2:SUITE B
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3454
Practice Address - Country:US
Practice Address - Phone:828-696-1255
Practice Address - Fax:828-696-1257
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
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Provider Licenses
StateLicense IDTaxonomies
NC164968207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine