| NPI | 1275783474 |
|---|---|
| Former Name | CAROLINE BEASLEY GALYEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002923) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2024-07-10 |