Doctor Name: | MARGIE EVLYN BEAL |
NPI Number: | 1073873527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN145126 |
Business Practice Address: | 817 Allgood Rd Stone Mountain, GA - 300834803 |
Business Phone Number: | 4042961422 |
Business Fax Number: | |
Mailing Address: | Po Box 294, PINE LAKE |
State: | GA |
Postal Code: | 300720294 |
Phone Number: | 4042961422 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2012 |
NPI Last Update Date: | 05/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN145126 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |