Individual
DR. WALTER LEE BEARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(251) 435-6357
Mailing address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(251) 435-6357
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
81780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021429400
—
FL
01
—
81780
MEDICAL LICENSE
GA
01
—
MD.36054
MEDICAL LICENSE
AL
01
—
ME132982
MEDICAL LICENSE
FL
01
—
T-2403
MS TEMPORARY MEDICAL LICENSE
MS
Enumeration date
07/01/2011
Last updated
04/17/2026
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