Individual
NADINE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
960 JOHNSON FERRY RD NE, STE 400, ATLANTA, GA 30342-4771
(404) 257-0170
(404) 591-3146
Mailing address
960 JOHNSON FERRY RD NE, STE 400, ATLANTA, GA 30342-4771
(404) 257-0170
(404) 591-3146
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
040311
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00677971A
—
GA
05
—
00677971H
—
GA
01
—
499239
BCSB
GA
01
—
5746121
AETNA
GA
Enumeration date
12/15/2006
Last updated
10/15/2020
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