Individual
DR. BETHANY JOHNSON NEMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 HARLEY ST, SCOTTSBORO, AL 35768-4219
(256) 259-1234
(256) 259-6838
Mailing address
506 HARLEY ST, SCOTTSBORO, AL 35768-4219
(256) 259-1234
(562) 596-8382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
44085
AL
208000000X
Pediatrics Physician
Primary
LL82798
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083955173
—
AL
Enumeration date
06/10/2019
Last updated
12/05/2022
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