Beverly G. Dedual
Athletic Trainer · Saucier, MS
Practice location
18114 S Village DrSaucier, MS 39574-6520
- Phone
- (228) 263-4352
NPI record
- NPI
- 1932825809
- Entity type
- Individual (Type 1)
- Enumeration date
- October 12, 2022
- Last updated
- January 11, 2024
- Certified
- January 11, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
1124 | MS |
About Beverly Dedual
Beverly G. Dedual is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 18114 S Village Dr, Saucier, MS 39574-6520. The NPI number 1932825809 was assigned on October 12, 2022 and the record was last updated on January 11, 2024.
Beverly Dedual lists a license in the registry: #1124 (MS) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Beverly G. Dedual?
The NPI number is 1932825809.
What is the phone number of Beverly Dedual?
The phone number listed for the practice location is (228) 263-4352.
Where is Beverly Dedual located?
18114 S Village Dr, Saucier, MS 39574-6520.
What is the taxonomy code for Beverly Dedual?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.