NPI Search for Physicians and Health Care Providers
JEFFREY B GIDDENS PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1578569794
Individual Registrant:
JEFFREY B GIDDENS PT
Gender: M
Not Sole Proprietor
Location and contact information for practice:
106 PEARL DR SUITE 104 LA FAYETTE, GA 30728-7509 US
Tel: 706-638-3880 Fax: 706-638-3890
Contact information for business:
PO BOX 431 LA FAYETTE, GA 30728-0431 US
Tel: 706-638-3880 Fax: 706-638-3890
Registration Information:
NPI: 1578569794
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist
| AL | PTH5116 |
Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | GA | PT006659 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
RR MEDICARE | P00853195 | GA | 01 |
| 000904648K | GA | 05 |
HEALTH CARE JOBS GA - Page 1