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Individual

MRS. LYNNE BEELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
528 PANTHER DR, JEFFERSON, GA 30549-5400
(706) 387-5555
(706) 387-5554
Mailing address
PO BOX 117267, ATLANTA, GA 30368-7267

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN105146
GA
363LF0000X
Family Nurse Practitioner
RN105146
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003130822A
GA
05
003130822B
GA
05
003130822C
GA
05
003130822D
GA
Enumeration date
05/16/2007
Last updated
11/08/2025
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