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NPI 1508054149

NPI 1508054149 : MIDDLE GEORGIA SURGICAL ASSOCIATES, P.C. : DUBLIN, GA

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General NPI Number Information
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    NPI Number           |    1508054149
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIDDLE GEORGIA SURGICAL ASSOCIATES, P.C. 
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Dates
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    Enumeration Date     |    10/09/2007
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    Last Update Date     |    10/13/2025
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Provider Practice Location Address
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    Address Line         |    103 FAIRVIEW PARK DRIVE J. ANDREW BEDINGFIELD, JR.
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    City                 |    DUBLIN
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    State                |    GA
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    Zip                  |    31021-2501
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    Country              |    US
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    Telephone            |    478-275-4300
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    Fax                  |    478-275-4265
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Provider Business Mailing Address
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    Address Line         |    103 FAIRVIEW PARK DRIVE J. ANDREW BEDINGFIELD, JR.
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    City                 |    DUBLIN
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    State                |    GA
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    Zip                  |    31021-2501
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    Country              |    US
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    Telephone            |    478-275-4300
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    Fax                  |    478-275-4265
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. JAMES ANDREW BEDINGFIELD JR.
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    Credential           |    M.D.
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    Telephone            |    478-275-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302F00000X
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    Taxonomy Name        |    Exclusive Provider Organization
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    License Number       |    027343G
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    027343
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    License Number State |    GA
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