Healthcare Provider Details

I. General information

NPI: 1033266051
Provider Name (Legal Business Name): BARBARA PERRY GEDDIE RN, MSN,CS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 CHESTNUT GLEN WAY
HIGH POINT NC
27262-7066
US

IV. Provider business mailing address

1701 CHESTNUT GLEN WAY
HIGH POINT NC
27262-7066
US

V. Phone/Fax

Practice location:
  • Phone: 336-886-4256
  • Fax: 336-886-4256
Mailing address:
  • Phone: 336-886-4256
  • Fax: 336-886-4256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number036551
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: