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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