Healthcare Provider Details

I. General information

NPI: 1639267479
Provider Name (Legal Business Name): LAURENCE BEER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 CLIFTON RD NE BUILDING A ROOM A4325
ATLANTA GA
30322-1013
US

IV. Provider business mailing address

739 MEDLOCK RD
DECATUR GA
30033-5512
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-3914
  • Fax:
Mailing address:
  • Phone: 404-320-1467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number49837
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number49837
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: