Individual
DR. KATIE LYNN BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DOS1764
HI
208D00000X
General Practice Physician
DOS1764
HI
Other
Enumeration date
06/10/2015
Last updated
12/13/2023
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