Dr JACOB CODY BEACH is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.
DOMINION HEALTH MEDICAL ASSOC
946 N MAIN ST
CHASE CITY
VA
239241139
Tel: 4343725141
| Npi | 1497169197 |
| Pac Id | 8224370739 |
| Professional Enrollment Id | I20190502002969 |
| Last Name | BEACH |
| First Name | JACOB |
| Middle Name | CODY |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | DOMINION HEALTH MEDICAL ASSOC |
| Group Practice Pac Id | 1254311558 |
| Number Of Group Practice Members | 45 |
| Line 1 Street Address | 946 N MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CHASE CITY |
| State | VA |
| Zip Code | 239241139 |
| Phone Number | 4343725141 |
| Hospital Affiliation Ccn 1 | 490013 |
| Hospital Affiliation Lbn 1 | SENTARA HALIFAX REGIONAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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