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Individual

NANCY HONEYCUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
004901
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00282422
MEDICARE RAILROAD PTAN
Enumeration date
03/22/2006
Last updated
03/01/2019
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