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 |