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NPI Code Detail

MEDICARE: JOY BECKER PA-C

MEDICARE: JOY BECKER PA-C
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
1363A00000XPhysician AssistantPA10005174WA
2363A00000XPhysician Assistant006127GA
3363A00000XPhysician Assistant611MT

General Provider Information

NPI Number : 1396863874
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY BECKER PA-C
Provider Business Mailing Address
First Line : 745 DALEROSE AVE
Second Line :
City : DECATUR
State : GA
Zip : 30030-3935
Country : US
Telephone Number : 404-428-1935
Fax Number :
Provider Business Practice Location Address
First Line : 1875 CENTURY BLVD NE STE 150
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3323
Country : US
Telephone Number : 404-633-4595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 01/20/2016

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Directions to “ JOY BECKER PA-C” Practice Location

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