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1861657447
EUGENE DALE BEVERLY
FORT GORDON, GA
NPI
1861657447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2008-07-23
Last Update Date
2014-08-13
Business Address
Mr. EUGENE DALE BEVERLY MPA-C
300 W HOSPITAL RD CONNELLY HEALTH CLINIC
FORT GORDON, GA 30905-5741
Phone number: 706-787-5170
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Mailing Address
Mr. EUGENE DALE BEVERLY MPA-C
1584 AVALON AVE
AUGUSTA, GA 30909-9803
Phone number: 706-860-0867
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