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Individual

FUQUAN CARL BEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 786-7053
Mailing address
4423 RICHMOND CT, STONE MOUNTAIN, GA 30083-1309

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN283803
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN283803
GA

Other

Enumeration date
08/06/2025
Last updated
09/12/2025
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