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NPI Code Detail

MEDICARE: COURTNEY DARLENA BEARDEN

MEDICARE: COURTNEY DARLENA BEARDEN
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
1163W00000XRegistered NurseRN303558GA

General Provider Information

NPI Number : 1760319503
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY DARLENA BEARDEN
Provider Business Mailing Address
First Line : 234 ORANGE CIR
Second Line :
City : DAWSONVILLE
State : GA
Zip : 30534-3678
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5780 PEACHTREE DUNWOODY RD STE 195
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1513
Country : US
Telephone Number : 770-751-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ COURTNEY DARLENA BEARDEN ” Practice Location

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