Eugene Dale Beverly, MPA-C

Physician Assistant · Fort Gordon, GA

Individual Active NPI

NPI number 1861657447

Practice location

300 W Hospital Rd
Connelly Health Clinic
Fort Gordon, GA 30905-5741
Phone
(706) 787-5170

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NPI record

NPI
1861657447
Entity type
Individual (Type 1)
Enumeration date
July 23, 2008
Last updated
August 13, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

1584 Avalon Ave
Augusta, GA 30909-9803
Phone
(706) 860-0867

About Eugene Beverly

Eugene Dale Beverly, MPA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 300 W Hospital Rd, Connelly Health Clinic, Fort Gordon, GA 30905-5741. The NPI number 1861657447 was assigned on July 23, 2008 and the record was last updated on August 13, 2014.

Frequently asked questions

What is the NPI number of Eugene Dale Beverly, MPA-C?

The NPI number is 1861657447.

What is the phone number of Eugene Beverly?

The phone number listed for the practice location is (706) 787-5170.

Where is Eugene Beverly located?

300 W Hospital Rd, Connelly Health Clinic, Fort Gordon, GA 30905-5741.

What is the taxonomy code for Eugene Beverly?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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