Doctor Name: | REBECCA JANE BEDARD |
NPI Number: | 1114343605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC |
License Number: | 2000001376 |
Business Practice Address: | 59 Executive Park S Suite 1000 Atlanta, GA - 303292208 |
Business Phone Number: | 4047787137 |
Business Fax Number: | |
Mailing Address: | 1015 Piedmont Ave Ne Apt C4, ATLANTA |
State: | GA |
Postal Code: | 303093732 |
Phone Number: | 4132370665 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2014 |
NPI Last Update Date: | 03/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 2000001376 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |