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MARGIE EVLYN BEAL FNP

Ambulatory Care >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1073873527

Individual Registrant:
 MARGIE EVLYN BEAL FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
817 ALLGOOD RD  STONE MOUNTAIN, GA 30083-4803 US
Tel: 404-296-1422  Fax: --

Contact information for business:
PO BOX 294  PINE LAKE, GA 30072-0294 US
Tel: 404-296-1422  Fax: --

Registration Information:
NPI: 1073873527
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WP2201XNursing Service Providers
Registered Nurse
Ambulatory Care
GARN145126
N163WP0808XNursing Service Providers
Registered Nurse
GARN145126
N174H00000X
N372500000XNursing Service Related Providers
Chore Provider
N372600000XNursing Service Related Providers
Adult Companion
N3747P1801XNursing Service Related Providers
Technician
N376J00000XNursing Service Related Providers
Homemaker
Y163WH0200XNursing Service Providers
Registered Nurse
GARN145126

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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