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NPI Code Detail

MEDICARE: RAYMOND A BEDGOOD M.D.

MEDICARE: RAYMOND A BEDGOOD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician37955GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427046994
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND A BEDGOOD M.D.
Provider Business Mailing Address
First Line : 404 HIGHLAND PARK LOOP
Second Line :
City : PINE MOUNTAIN
State : GA
Zip : 31822-2586
Country : US
Telephone Number : 706-483-2333
Fax Number :
Provider Business Practice Location Address
First Line : 404 HIGHLAND PARK LOOP
Second Line :
City : PINE MOUNTAIN
State : GA
Zip : 31822-2586
Country : US
Telephone Number : 706-483-2333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 03/07/2023

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Directions to “ RAYMOND A BEDGOOD M.D.” Practice Location

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