Organization
THE BEDFORD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DEAN CULPEPPER M.D. (PRESIDENT)
(601) 857-8638
Entity
Organization
Contact information
Practice address
1281 HIGHWAY 51, MADISON, MS 39110-9092
(601) 853-5580
Mailing address
1695 MOSES RD, RAYMOND, MS 39154-8766
(601) 857-8638
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
08113
MS
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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