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1144827957
BETHANY AMANDA PETERSON
COLUMBUS, GA
NPI
1144827957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN213705)
Enumeration Date
2020-10-05
Last Update Date
2021-06-08
Business Address
Mrs. BETHANY AMANDA PETERSON NP-C
6228 BRADLEY PARK DR STE A
COLUMBUS, GA 31904-3605
Phone number: 706-322-1486
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Mailing Address
Mrs. BETHANY AMANDA PETERSON NP-C
PO BOX 776
CATAULA, GA 31804-0776
Phone number: 706-570-3965
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