Provider Demographics
NPI:1518025881
Name:BELDICK, GARY ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:ARTHUR
Last Name:BELDICK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5669 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:#202
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1786
Mailing Address - Country:US
Mailing Address - Phone:404-252-5458
Mailing Address - Fax:404-252-4090
Practice Address - Street 1:5669 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:#202
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1786
Practice Address - Country:US
Practice Address - Phone:404-252-5458
Practice Address - Fax:404-252-4090
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GAGA019368207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00151522AMedicaid
GA00151522AMedicaid