Individual
MRS. SHANNON M BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1676 MULKEY RD, STE A, AUSTELL, GA 30106-1170
(678) 838-6600
Mailing address
1676 MULKEY RD, STE A, AUSTELL, GA 30106-1170
(678) 838-6600
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
GA
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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