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NPI Code Detail

MEDICARE: NANCY HONEYCUTT P.T.

MEDICARE: NANCY HONEYCUTT P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist004901GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00282422OTHERMEDICARE RAILROAD PTAN

General Provider Information

NPI Number : 1275592719
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY HONEYCUTT P.T.
Provider Business Mailing Address
First Line : 3708 NORTHSIDE DR
Second Line :
City : MACON
State : GA
Zip : 31210-2404
Country : US
Telephone Number : 478-745-4206
Fax Number :
Provider Business Practice Location Address
First Line : 3708 NORTHSIDE DR
Second Line :
City : MACON
State : GA
Zip : 31210-2404
Country : US
Telephone Number : 478-745-4206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 03/01/2019

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Directions to “ NANCY HONEYCUTT P.T.” Practice Location

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