Most Relevant Information
Provider Data
| NPI Number: | 1003243593 |
| Provider Name: | DAVID LEE BEDFORD |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2013 |
| Last Updated: | 09/30/2013 |
Provider Practice Location
4756 BILLIE J DR
AUGUSTA
GA
309099171
Practice Location Phone/Fax
| Phone: | 7066502886 |
| Fax: |
Provider Mailing Location
4756 BILLIE J DR
AUGUSTA
GA
309099171
Provider Mailing Phone/Fax
| Phone: | 7066502886 |
| Fax: |