Individual
MRS. CHEREESE BEDINGFIELD ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 MEDICAL DR, DUBLIN, GA 31021-2548
(478) 275-3782
(478) 275-8937
Mailing address
101 MEDICAL DR, DUBLIN, GA 31021-2548
(478) 275-3782
(478) 275-8937
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006496
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128037F
—
GA
05
—
003141398A
—
GA
Enumeration date
07/20/2012
Last updated
04/01/2014
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