NPI 1164778411

Harriette Peacock Bryant, CPEDCFM

Practitioner Pedorthist Blue Ridge, GA

Practice location

Address: 7130 Blue Ridge Dr, Blue Ridge, GA 30513-3605
Phone: (706) 632-0384
Fax: (706) 946-0385

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence PED0000000064 (TN)

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Mastectomy Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1164778411
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2012
Record last updated: 1 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.