Individual
JEANNIE A BELAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTER, LITHONIA, GA 30058
(770) 322-2712
(215) 476-3981
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(215) 476-3981
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
062101
GA
208000000X
Pediatrics Physician
MD 426139
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013799620001
—
PA
Enumeration date
08/14/2006
Last updated
02/03/2011
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