Healthcare Provider Details

I. General information

NPI: 1326071366
Provider Name (Legal Business Name): RHONDA R BEDSOLE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS RHONDA MICHELE ROWELL

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 06/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 WULFF RD E
SEMMES AL
36575-5256
US

IV. Provider business mailing address

PO BOX 2867
MOBILE AL
36652-2867
US

V. Phone/Fax

Practice location:
  • Phone: 251-445-0582
  • Fax: 251-445-0584
Mailing address:
  • Phone: 251-690-8894
  • Fax: 251-544-2188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number00026552
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number26552
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: