Provider Demographics
NPI:1124136452
Name:BEDINGFIELD, JAMES ANDREW JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANDREW
Last Name:BEDINGFIELD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:103 FAIRVIEW PARK DRIVE, J.ANDREW BEDINGFIELD JR., M.D.
Mailing Address - Street 2:MIDDLE GEORGIA SURGICAL ASSOCIATES, P.C.
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2501
Mailing Address - Country:US
Mailing Address - Phone:478-275-4300
Mailing Address - Fax:478-275-4265
Practice Address - Street 1:103 FAIRVIEW PARK DRIVE, J.ANDREW BEDINGFIELD JR., M.D.
Practice Address - Street 2:MIDDLE GEORGIA SURGICAL ASSOCIATES, P.C.
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2501
Practice Address - Country:US
Practice Address - Phone:478-275-4300
Practice Address - Fax:478-275-4265
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2010-08-09
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Provider Licenses
StateLicense IDTaxonomies
GA027343208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00299582AMedicaid
581812376OtherTAX ID
GA02BDFXDMedicare PIN
GAD28897Medicare UPIN
GA00299582AMedicaid