Organization
BEACON HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA THOMAS MD (MD/CEO)
(770) 383-1228
Entity
Organization
Contact information
Practice address
475 BOULEVARD NE, ATLANTA, GA 30308-6520
(770) 383-1228
(678) 550-7675
Mailing address
1643 MOUNT VERNON RD, ATLANTA, GA 30338-2662
(770) 383-1228
(678) 550-7675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376750752
NPI
GA
Enumeration date
03/03/2016
Last updated
07/31/2019
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