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NPI Code Detail

MEDICARE: MRS. ROSEMARY B. BEARD RN

MEDICARE: MRS. ROSEMARY B. BEARD RN
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 NurseRN065919GA

General Provider Information

NPI Number : 1790862464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSEMARY B. BEARD RN
Provider Business Mailing Address
First Line : 2420 WINDSOR SPRING RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-4668
Country : US
Telephone Number : 706-790-0661
Fax Number : 706-790-2541
Provider Business Practice Location Address
First Line : 2420 WINDSOR SPRING RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-4668
Country : US
Telephone Number : 706-790-0661
Fax Number : 706-790-2541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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