Individual
DR. CAELYN THEA BELLEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
EMORY SCHOOL OF MEDICINE, 100 WOODRUFF CIRCLE, SUITE 327, ATLANTA, GA 30322-0001
(404) 727-5658
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
296273
NY
207P00000X
Emergency Medicine Physician
8508
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8508
TRAINING PERMIT - LICENSE
GA
Enumeration date
04/06/2016
Last updated
06/28/2019
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