Organization
BEARDEN PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER BEARDEN PT, PCS (PEDIATRIC PHYSICAL THERAPIST)
(770) 363-2020
Entity
Organization
Contact information
Practice address
6470 CONCORD RD, CUMMING, GA 30040-8501
(770) 363-2020
(770) 889-7719
Mailing address
6470 CONCORD RD, CUMMING, GA 30040-8501
(770) 363-2020
(770) 889-7719
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT003343
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52820847002
BLUE CROSS BLUE SHIELD
GA
Enumeration date
11/01/2006
Last updated
08/22/2020
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