| Bedsiide | |
|
112 S Duke St Suite #1 Durham NC 27701-3172 | |
| (919) 294-9410 | |
| (919) 827-4998 |
| Full Name | Bedsiide |
|---|---|
| Speciality | General Practice |
| Location | 112 S Duke St, Durham, North Carolina |
| Authorized Official Name and Position | Corenthian Jerome Booker (OWNER) |
| Authorized Official Contact | 9198081395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedsiide Po Box 52383 Durham NC 27717-2383 Ph: (919) 808-1395 | Bedsiide 112 S Duke St Suite #1 Durham NC 27701-3172 Ph: (919) 294-9410 |
| NPI Number | 1477949865 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477949865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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