Individual
KAREN MARIE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3987 LAWRENCEVILLE HWY STE B, TUCKER, GA 30084-4526
(770) 270-8112
(770) 270-6841
Mailing address
3987 LAWRENCEVILLE HWY STE B, TUCKER, GA 30084-4526
(770) 270-8112
(770) 270-6841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN132357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN132357
GEORGIA BOARD OF NURSING
GA
Enumeration date
06/01/2009
Last updated
06/01/2009
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