Individual
PAUL BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
771 OLD NORCROSS RD, SUITE 310, LAWRENCEVILLE, GA 30046-4386
(770) 925-1515
(770) 925-0289
Mailing address
771 OLD NORCROSS RD, SUITE 310, LAWRENCEVILLE, GA 30046-4386
(770) 925-1515
(770) 925-0289
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
03146
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03146
LICENSE
GA
Enumeration date
12/21/2006
Last updated
03/21/2010
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