Individual
MRS. BETHANY AMANDA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6228 BRADLEY PARK DR STE A, COLUMBUS, GA 31904-3605
(706) 322-1486
(706) 324-3419
Mailing address
PO BOX 776, CATAULA, GA 31804-0776
(706) 570-3965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-130643
AL
363LF0000X
Family Nurse Practitioner
Primary
RN213705
GA
Other
Enumeration date
10/05/2020
Last updated
08/22/2025
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