Individual
MARGIE EVLYN BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
817 ALLGOOD RD, STONE MOUNTAIN, GA 30083-4803
(404) 296-1422
Mailing address
PO BOX 294, PINE LAKE, GA 30072-0294
(404) 296-1422
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN145126
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN145126
GA
163WP2201X
Ambulatory Care Registered Nurse
RN145126
GA
174H00000X
Health Educator
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/17/2012
Last updated
01/21/2021
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