NPI 1548587694

Bryan Davis Beasley, ATCL

Practitioner Rehabilitation Practitioner Dalton, GA

Practice location

Address: 2659 Abutment Rd, Dalton, GA 30721-4887
Phone: (706) 532-6700
Mailing address: 225 Governors CT, Cartersville, GA 30121-4272

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence AT002017 (GA)

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Registry record

NPI: 1548587694
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2010
Record last updated: 17 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.