IndividualActive
Shannon Beaulieu
NPI 1215176607 · Surgical Technologist · Austell, GA
Provider details
- NPI number
- 1215176607
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1676 Mulkey Rd
Ste a
Austell, GA 30106-1170
Phone: (678) 838-6600
Approximate (ZIP-level) locationGet directions
Mailing address
1676 Mulkey Rd
Austell, GA 30106-1170
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2009-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.