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NPI Code Detail

MEDICARE: LAUREN BEATTY PA-C

MEDICARE: LAUREN BEATTY 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 Assistant7754GA

General Provider Information

NPI Number : 1972973972
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BEATTY PA-C
Provider Business Mailing Address
First Line : 1462 CLIFTON RD NE # 276K
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1063
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1462 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1063
Country : US
Telephone Number : 404-727-1494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2015
Last Update Date : 10/24/2025

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Directions to “ LAUREN BEATTY PA-C” Practice Location

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