Provider Demographics
NPI:1003104092
Name:BEDINI, TABITHA M (MD)
Entity Type:Individual
Prefix:
First Name:TABITHA
Middle Name:M
Last Name:BEDINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6408 FAYETTEVILLE RD
Mailing Address - Street 2:MOORE REGIONAL HOSPITAL - HOKE CAMPUS
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-7977
Mailing Address - Country:US
Mailing Address - Phone:910-878-6700
Mailing Address - Fax:
Practice Address - Street 1:6408 FAYETTEVILLE RD
Practice Address - Street 2:MOORE REGIONAL HOSPITAL - HOKE CAMPUS
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-7977
Practice Address - Country:US
Practice Address - Phone:910-878-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2014-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-01615207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine