Provider Demographics
NPI:1740481209
Name:BEASLEY, JOAN (RPSGT)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1445
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28744-1445
Mailing Address - Country:US
Mailing Address - Phone:828-606-3821
Mailing Address - Fax:
Practice Address - Street 1:219 CLOVER CREEK RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-6382
Practice Address - Country:US
Practice Address - Phone:828-606-3821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other