TIA BEASLEY PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1336504778- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 109 MULBERRY DR, TUPELO, MS, 388016993
- Phone
- (662) 255-3008
Specialties & Taxonomies
Physician Assistant
Primary License: MS #PA00260