Individual
TONYA BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5804
Mailing address
411 E 9TH ST, PO BOX 46, FORT STEWART, GA 31314-5036
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
E2003105
TX
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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