Dr. Glenn A. Beasley
Family Doctor - Sports Medicine
2158 Northgate Park Ln Suite 104
Chattanooga
, Tennessee 37415-6957
Dr. Glenn A. Beasley
Family Doctor - Sports Medicine
2158 Northgate Park Ln Suite 104
Chattanooga
, Tennessee 37415-6957
(423) 875-6405
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Glenn A. Beasley
- 2158 Northgate Park Ln Suite 104
- Chattanooga, TN
- Zip : 37415-6957
- Fax : (423) 875-6405
- Phone : (423) 870-2030
Second Address
- Dr. Glenn A. Beasley
- 2158 Northgate Park Ln Suite 104
- Chattanooga, TN
- Zip : 37415-6957
- Fax : (423) 875-6405
- Phone : (423) 870-2030
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD0000020673 | TN |
National Provider Identifier
| NPI | 1023141025 |
|---|---|
| Provider Name | Dr. Glenn A. Beasley |
| First Address | Chattanooga, TN 37415-6957 |
| Second Address | Chattanooga, TN 37415-6957 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 13/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3053865 | (05) | TN |
| C68858 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.