Provider Demographics
NPI:1669728945
Name:DAMALI, BEATRICE LYNNE (DC)
Entity type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:LYNNE
Last Name:DAMALI
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2661
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30298-2661
Mailing Address - Country:US
Mailing Address - Phone:042-286-3704
Mailing Address - Fax:678-815-0879
Practice Address - Street 1:251 MEDICAL WAY STE B
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2522
Practice Address - Country:US
Practice Address - Phone:404-228-6370
Practice Address - Fax:678-815-0879
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor