Dr Alvin Ray Beezley Jr, D O | |
9692 Wolf Road, Caledonia, MS 39740 | |
(662) 356-0324 | |
(662) 356-0322 |
Full Name | Dr Alvin Ray Beezley Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 9692 Wolf Road, Caledonia, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922056159 | NPI | - | NPPES |
07757360 | Medicaid | MS | |
512I110141 | Other | MS | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15421 (Mississippi) | Primary |
208000000X | Pediatrics | 15421 (Mississippi) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Alvin Ray Beezley Jr, D O 9692 Wolfe Rd, Caledonia, MS 39740-9223 Ph: (662) 356-0324 | Dr Alvin Ray Beezley Jr, D O 9692 Wolf Road, Caledonia, MS 39740 Ph: (662) 356-0324 |
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