Provider Demographics
NPI:1962407023
Name:BEER, SALLY G (MD)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:G
Last Name:BEER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:275 COLLIER ROAD, NW
Mailing Address - Street 2:STE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1740
Mailing Address - Country:US
Mailing Address - Phone:404-605-2800
Mailing Address - Fax:404-351-5983
Practice Address - Street 1:275 COLLIER ROAD, NW
Practice Address - Street 2:STE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1740
Practice Address - Country:US
Practice Address - Phone:404-605-2800
Practice Address - Fax:404-351-5983
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-09-20
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Provider Licenses
StateLicense IDTaxonomies
GA034295207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000456882JKLMMedicaid
E81657Medicare UPIN
GA202I061104Medicare PIN