MEDICARE: DR. AMY ELIZABETH BEDSOLE M.D.

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
1	207Q00000X	Family Medicine Physician	2007-00267	NC

General Provider Information

NPI Number	:	1902026859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ELIZABETH BEDSOLE M.D.

Provider Business Mailing Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:	333-832-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 GOLF HOUSE CT E
Second Line	:
City	:	WHITSETT
State	:	NC
Zip	:	27377-9296
Country	:	US
Telephone Number	:	336-449-9848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/11/2021

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