IndividualActive
Beau Gedrick, D.O.
NPI 1679899215 · Sports Medicine (Emergency Medicine) Physician · Evans, GA
Provider details
- NPI number
- 1679899215
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 075463 (GA)
Practice location
4490 Washington Rd Ste 2
Evans, GA 30809-5899
Phone: (762) 930-3539
Fax: (706) 391-4250
Mailing address
4490 Washington Rd Ste 2
Evans, GA 30809-5899
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2023-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.