Iceesho Bethel, RRT

NPI #1619227576 in Jackson, Georgia

Provider Information

NPI Number
1619227576
Entity Type
Individual
Name
Iceesho Bethel, RRT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Credential
RRT
Enumeration Date
Sep 18, 2012
Last Updated
Sep 18, 2012

Practice Location

Address
310 HICKORY RD
State
Georgia
ZIP Code
30233-6271
Phone
(706) 476-4988

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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