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SARAH BEADLES NP-C
General Practice >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1124537717
Individual Registrant: SARAH BEADLES NP-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4864 JIMMY CARTER BLVD STE 203 NORCROSS, GA 30093-3704 US
Tel: 770-806-0162 Fax: --
Tel: 770-806-0162 Fax: --
Contact information for business:
2247 HUMILITY LN NE BROOKHAVEN, GA 30319-2714 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1124537717
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163WG0000X | Nursing Service Providers Registered Nurse General Practice | GA | RN231136 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN231136 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
