Individual
BRUCE BEEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1009 MILSTEAD AVE, STE 110, CONYERS, GA 30012
(770) 922-1400
(770) 922-3437
Mailing address
1009 MILSTEAD AVE, STE 110, CONYERS, GA 30012
(770) 922-1400
(770) 922-3437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
026825
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00292399A
—
GA
Enumeration date
08/04/2006
Last updated
03/13/2019
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