Individual
DR. PAUL BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., PH.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7777
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7777
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
85800
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/07/2016
Last updated
07/09/2020
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