| Doctor Name: | MS. BEVERLY LYNN PHILSON |
| NPI Number: | 1063651982 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHCNS-BC |
| License Number: | RN088054 |
| Business Practice Address: | 80 Jesse Hill Jr Dr , Se Atlanta, GA - 303033801 |
| Business Phone Number: | 4046164444 |
| Business Fax Number: | 4046164737 |
| Mailing Address: | 80 Jesse Hill Jr Dr , Se, ATLANTA |
| State: | GA |
| Postal Code: | 303033801 |
| Phone Number: | 4046164444 |
| Fax Number: | 4046164737 |
| NPI Enumeration Date: | 02/17/2009 |
| NPI Last Update Date: | 02/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | RN088054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |