Individual
DR. BEAU NIXON DUSSEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 WHITCHER ST NE, SUITE 250, MARIETTA, GA 30060-1155
(770) 428-4475
(770) 426-1499
Mailing address
55 WHITCHER ST NE, SUITE 250, MARIETTA, GA 30060-1155
(770) 428-4475
(770) 426-1499
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
66366
GA
Other
Enumeration date
07/04/2008
Last updated
03/07/2023
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