Terry, Heather Beasley

Terry, Heather Beasley is an individual health care provider with primary practice located at 2785 Lawrenceville Hwy Suite100, Decatur GA 30033-2515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Terry, Heather Beasley can be contacted via phone (404) 292-4612.

Contact Information

Primary practice address
2785 Lawrenceville Hwy Suite100 Decatur GA 30033-2515
Phone: (404) 292-4612
Fax: (678) 514-0088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003743 Georgia

Profile Details

NPI number 1578507612
LBN Legal business name Terry, Heather Beasley
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 25th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578507612 NPPES
Georgia MEDICAID 100002705A

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