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NPI Code Detail

MEDICARE: YOLANDA THOMAS-BEAN

MEDICARE:   YOLANDA  THOMAS-BEAN
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
1374700000XTechnician

General Provider Information

NPI Number : 1417709080
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA THOMAS-BEAN
Provider Business Mailing Address
First Line : 1611 TUCKER RD
Second Line :
City : MACON
State : GA
Zip : 31220-5361
Country : US
Telephone Number : 478-954-6080
Fax Number :
Provider Business Practice Location Address
First Line : 1611 TUCKER RD
Second Line :
City : MACON
State : GA
Zip : 31220-5361
Country : US
Telephone Number : 478-954-6080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2024
Last Update Date : 04/04/2024

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Directions to “ YOLANDA THOMAS-BEAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.