Individual
MARY SUSANN BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, SUITE 870, ATLANTA, GA 30342-1731
(404) 255-2975
(404) 255-2276
Mailing address
PO BOX 631856, BALTIMORE, MD 21263-1856
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35480
DC
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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