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Iceesho Bethel, RRT

NPI 1619227576 · on the registry since 2012 · sole proprietor

Practice

Address
2086 Jodeco Rd # 1674
Mcdonough, GA 30253
Phone
(678) 763-9797

Registry record

Primary taxonomy
2278G0305X
2278G0305X
Also registered as
2278H0200X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia