HARRIETTE PEACOCK BRYANT CPED CFM NPI 1164778411

NPI Information

NPI: 1164778411
Provider Name: HARRIETTE PEACOCK BRYANT, CPED, CFM
Classification: Pedorthist - 224L00000X
Entity Type: Individual
Address:
7130 BLUE RIDGE DR
BLUE RIDGE, GA
ZIP 30513
Phone: (706) 632-0384
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Harriette Peacock Bryant, CPED, CFM is a pedorthist in Blue Ridge, GA. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. Harriette Peacock Bryant, CPED, CFM NPI is 1164778411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7130 BLUE RIDGE DR
BLUE RIDGE, GA
ZIP 30513-605
Phone: (706) 632-0384
Fax: (706) 946-0385

The enumeration date for this NPI number is 7/24/2012 and was last updated on 7/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	224900000X	Mastectomy Fitter				No
2	224L00000X	Pedorthist		PED0000000064	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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