Provider Demographics
NPI:1841335064
Name:BEDINGFIELD, GEORGE C
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:C
Last Name:BEDINGFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-2312
Mailing Address - Country:US
Mailing Address - Phone:478-745-4445
Mailing Address - Fax:478-745-2977
Practice Address - Street 1:375 HENDERSON RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-2312
Practice Address - Country:US
Practice Address - Phone:478-745-4445
Practice Address - Fax:478-745-2977
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant