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Individual

MRS. DEBRA BECKUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
320 PARKWAY DR NE, ATLANTA, GA 30312-1213
(404) 941-1700
Mailing address
185 RIVER VIEW CT, HAMPTON, GA 30228-4902
(678) 859-6274

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN162564
GA

Other

Enumeration date
08/03/2020
Last updated
08/03/2020
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