Provider Demographics
NPI:1891181228
Name:BEACH, BRIANA MARY (DO)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:MARY
Last Name:BEACH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1314 PETERS CREEK RD NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017-2500
Mailing Address - Country:US
Mailing Address - Phone:540-562-5700
Mailing Address - Fax:540-562-4278
Practice Address - Street 1:1314 PETERS CREEK RD NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24017
Practice Address - Country:US
Practice Address - Phone:540-562-5700
Practice Address - Fax:540-562-4278
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2020-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0102205266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine