MS. BEVERLEY HYACINTH CHIN (NPI# 1093010548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093010548 |
| Entity Type | Individual |
| Full Name | MS. BEVERLEY HYACINTH CHIN |
| Other Name | MISS BEVERLEY HYACINTH DINNALL |
| Practice Address |
4435 Boatmans Cv Stone Mountain GA 30083-2483 |
| Practice Telephone | 7702356757 |
| Practice Fax Number | 7704697825 |
| Mailing Telephone | 7702356757 |
| Mailing Fax Number | 7704697825 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
034875 | NY | Technologists, Technicians & Other Technical Service Providers |
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
082024 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4435 BOATMANS CV |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083171045 | Arianna Curtis Bartleson | Spec/Tech, Pathology | 1014 Durban Dr, Grovetown, GA 30813-2243 | 2019-02-26 |
| 1306164496 | Daphne Dixon Puckett | Spec/Tech, Pathology | 3652 Pearl St, Shellman, GA 39886 | 2010-05-13 |
| 1841453701 | Susan D Bulla | Spec/Tech, Pathology | 86 South Cobb Drive, Mail Zone 0454, Marietta, GA 30066-0454 | 2008-07-09 |
| 1619916186 | Jonathan Blackmon | Spec/Tech, Pathology | 603 Wild Grape Dr, Saint Marys, GA 31558-3619 | 2006-06-06 |
| 1518513233 | Mukhtar O Awad | Spec/Tech, Pathology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-08-19 |
| 1073630059 | Cherron Lakisha Blakely | Spec/Tech, Pathology | 1826 Veterans Blvd, Bldg 3a, Pathology and Laboratory Medicine, Dublin, GA 31021-3620 | 2007-03-23 |
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on MS. BEVERLEY HYACINTH CHIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.