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Individual
JAMES DEWITT BEARDEN III
Active
Individual
JAMES DEWITT BEARDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5674
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056744
—
SC
01
—
0732330001
NATIONAL SUPPLIER CLEARIN
SC
05
—
8905108
—
NC
01
—
P00692282
RR MEDICARE
SC
01
—
SCG0033365
MEDICARE PIN
SC
Enumeration date
06/22/2005
Last updated
02/01/2023
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