MEDICARE: DR. WAINDEL BELIZAIRE D.O.

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	207RN0300X	Nephrology Physician	052252	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235193632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAINDEL BELIZAIRE D.O.

Provider Business Mailing Address
First Line	:	2221 PEACHTREE RD NE
Second Line	:	STE D195
City	:	ATLANTA
State	:	GA
Zip	:	30309-1148
Country	:	US
Telephone Number	:	404-694-0026
Fax Number	:	770-507-4190

Provider Business Practice Location Address
First Line	:	2221 PEACHTREE RD NE
Second Line	:	STE D195
City	:	ATLANTA
State	:	GA
Zip	:	30309-1148
Country	:	US
Telephone Number	:	404-694-0026
Fax Number	:	770-507-4190

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	06/24/2008

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