person
Mr. Nicholas Jean Beaulieu, MD
Preferred Provider Organization in Atlanta, Georgia
NPI 1679680557

Nicholas Jean Beaulieu is a Preferred Provider Organization based in Atlanta, GA. Nicholas Jean Beaulieu practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Nicholas Jean Beaulieu is 1679680557 and holds a License No. 42176 (Georgia).

The current practice location address for Nicholas Jean Beaulieu is 920 Ponce De Leon Ave Ne, Atlanta, GA and can be reached out via phone at 404-815-1957 and via fax at 404-815-1954.

Location: 920 Ponce De Leon Ave Ne, Atlanta, GA, 30306-4212
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Provider Profile Details
NPI Number
1679680557
Provider Name
Nicholas Jean Beaulieu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
920 Ponce De Leon Ave Ne, Atlanta, GA, 30306-4212
Phone Number
404-815-1957
Fax Number
404-815-1954
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00717076E 05 GA
institution
Provider Business Practice Location Address Details
Address
920 Ponce De Leon Ave Ne
City
State
Zip
30306-4212
Phone Number
404-815-1957
Fax Number
404-815-1954
person
Provider Business Mailing Address Details
Address
920 Ponce De Leon Ave Ne
City
State
Zip
30306-4212
Phone Number
404-815-1957
Fax Number
404-815-1954
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
License No.
42176 (Georgia)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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