Provider Demographics
NPI:1013128701
Name:BEAL, EVA BARRETT (SURGICAL ASSISTANT)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:BARRETT
Last Name:BEAL
Suffix:
Gender:F
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 BURNT HILL RD
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37180-8604
Mailing Address - Country:US
Mailing Address - Phone:931-294-3816
Mailing Address - Fax:931-294-3816
Practice Address - Street 1:463 BURNT HILL RD
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37180-8604
Practice Address - Country:US
Practice Address - Phone:931-294-3816
Practice Address - Fax:931-294-3816
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other