Individual
REBECCA JANE BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
59 EXECUTIVE PARK S, SUITE 1000, ATLANTA, GA 30329-2208
(404) 778-7137
Mailing address
1015 PIEDMONT AVE NE APT C4, ATLANTA, GA 30309-3732
(413) 237-0665
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
2000001376
NE
246ZS0410X
Surgical Technologist
Primary
13-0618
NY
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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