| Doctor Name: | MS. BEVERLEY HYACINTH CHIN |
| NPI Number: | 1093010548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 034875 |
| Business Practice Address: | 4435 Boatmans Cv Stone Mountain, GA - 300832483 |
| Business Phone Number: | 7702356757 |
| Business Fax Number: | 7704697825 |
| Mailing Address: | 4435 Boatmans Cv, STONE MOUNTAIN |
| State: | GA |
| Postal Code: | 300832483 |
| Phone Number: | 7702356757 |
| Fax Number: | 7704697825 |
| NPI Enumeration Date: | 01/13/2011 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246QM0706X |
| License Number: | 034875 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Pathology |
| Taxonomy Specialization: | Medical Technologist |
| Taxonomy Definition: | |