MEDICARE: JULIANA BEEM EASTHAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW009939	GA

General Provider Information

NPI Number	:	1760349120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANA BEEM EASTHAM

Provider Business Mailing Address
First Line	:	1010 RIVER VISTA DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2956
Country	:	US
Telephone Number	:	404-310-9413
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 RIVER VISTA DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2956
Country	:	US
Telephone Number	:	404-310-9413
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “ JULIANA BEEM EASTHAM ” Practice Location

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