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Organization

BROOK G BEARDEN MDPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BROOK G BEARDEN MD (PHYSICIAN)
(229) 333-0014
Entity
Organization

Contact information

Practice address
5116 NORTHWIND BLVD, VALDOSTA, GA 31605-7672
(229) 333-0014
Mailing address
5116 NORTHWIND BLVD, VALDOSTA, GA 31605-7672
(229) 333-0014

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
56527
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DF3232
RAILROAD MEDCIARE PIN
GA
Enumeration date
05/09/2007
Last updated
01/09/2008
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