Provider Demographics
NPI:1235383241
Name:BIOMEDICAL HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BIOMEDICAL HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RHETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGERON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-990-5401
Mailing Address - Street 1:555 SUN VALLEY DRIVE
Mailing Address - Street 2:STE D-1
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:678-990-5401
Mailing Address - Fax:678-990-5405
Practice Address - Street 1:555 SUN VALLEY DRIVE
Practice Address - Street 2:STE D-1
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5612
Practice Address - Country:US
Practice Address - Phone:678-990-6401
Practice Address - Fax:678-990-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty