Glenn A. Beasley in Chattanooga - Sports Medicine
Glenn A. Beasley - NPI 1023141025
Glenn A. Beasley is a Sports Medicine in Chattanooga, Tennessee. Glenn A. Beasley practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Glenn A. Beasley is 1023141025. The last update date is 2008-03-13.
Glenn A. Beasley's current location address is 2158 Northgate Park Ln, Chattanooga, Tennessee. You can contact this provider via phone number 4238702030 and fax number 4238756405. The mailing address for Glenn A. Beasley is 2158 Northgate Park Ln, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn A. Beasley |
|---|---|
| Address | 2158 Northgate Park Ln, Chattanooga, Tennessee |
| Phone Number | 4238702030 |
| Fax Number | 4238756405 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023141025 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 2158 Northgate Park Ln |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374156957 |
| Phone Number | 4238702030 |
| Fax Number | 4238756405 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD0000020673 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3053865 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Glenn A. Beasley by the Centers for Medicare & Medicaid Services?
The Glenn A. Beasley has been assigned the NPI (National Provider Identifier) 1023141025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Glenn A. Beasley is physically located?
The Glenn A. Beasley is situated at the following address: 2158 Northgate Park Ln, Chattanooga, TN 374156957.
What is Glenn A. Beasley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glenn A. Beasley is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023141025 to Glenn A. Beasley?
The Centers for Medicare & Medicaid Services assigned the 1023141025 to Glenn A. Beasley on 2007-03-13.
As of what date was the information regarding Glenn A. Beasley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glenn A. Beasley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-13.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA