Provider Demographics
NPI:1376779785
Name:HOWARD, BETH ANN (PA)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN
Last Name:HOWARD
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Gender:F
Credentials:PA
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Mailing Address - Street 1:3459 HOLCOMB BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3102
Mailing Address - Country:US
Mailing Address - Phone:770-798-9799
Mailing Address - Fax:678-922-2728
Practice Address - Street 1:3459 HOLCOMB BRIDGE RD
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-3102
Practice Address - Country:US
Practice Address - Phone:770-798-9799
Practice Address - Fax:678-922-2728
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
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Provider Licenses
StateLicense IDTaxonomies
GA001924363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant