Provider Demographics
NPI:1831963438
Name:BEACONHILL GLOBAL, LLC
Entity type:Organization
Organization Name:BEACONHILL GLOBAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUWASEUN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINBOBOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-961-4967
Mailing Address - Street 1:5916 JONESBORO RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-1103
Mailing Address - Country:US
Mailing Address - Phone:678-340-2083
Mailing Address - Fax:
Practice Address - Street 1:5916 JONESBORO RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1103
Practice Address - Country:US
Practice Address - Phone:770-961-4967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty