Organization
M. SUSANN BEDFORD, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. SUSANN BEDFORD MD (DOCTOR)
(404) 255-2975
Entity
Organization
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, SUITE 870, ATLANTA, GA 30342-1731
(404) 255-2975
(404) 255-2276
Mailing address
5673 PEACHTREE DUNWOODY RD NE, SUITE 870, ATLANTA, GA 30342-1731
(404) 255-2975
(404) 255-2276
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
057579
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
570352915A
—
GA
Enumeration date
07/14/2008
Last updated
07/14/2008
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