Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ICEESHO BETHEL, RRT
Active Sole ProprietorICEESHO BETHEL, RRT is a Durable Medical Equipment & Medical Supplies healthcare provider located in JACKSON, Georgia. NPI 1619227576 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · JACKSON, GA
Registration Details
- NPI Number
- 1619227576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2012 (13.870242245729 yrs)
- Last Updated
- Sep 18, 2012
- License
-
7058 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 HICKORY RDJACKSON, GA, 302336271Browse GA providers · Browse ZIP 30233
- Phone
- 7064764988
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.