Mrs Brandi R Stouder, RPT | |
11638 Highway 27 Ste 1, Summerville, GA 30747-8515 | |
(706) 857-6366 | |
(706) 857-6372 |
Full Name | Mrs Brandi R Stouder |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 11638 Highway 27 Ste 1, Summerville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730117284 | NPI | - | NPPES |
515-29673 | Other | AL | BCBS OF ALABAMA |
051556285STO | Other | AL | PIN |
S89453 | Other | AL | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT005657 (Georgia) | Primary |
225100000X | Physical Therapist | PTH3178 (Alabama) | Secondary |
Provider Name | Northeast Orthopedic Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699785790 PECOS PAC ID: 6709798200 Enrollment ID: O20031103000704 |
Provider Name | Drayer Physical Therapy-alabama, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023440583 PECOS PAC ID: 5395970560 Enrollment ID: O20150417000513 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brandi R Stouder, RPT Po Box 949, Rome, GA 30162-0949 Ph: (706) 857-6366 | Mrs Brandi R Stouder, RPT 11638 Highway 27 Ste 1, Summerville, GA 30747-8515 Ph: (706) 857-6366 |
James Thomas Espy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11638 Highway 27, Suite 1, Summerville, GA 30747 Phone: 706-857-6366 Fax: 706-857-6372 | |
James Allie, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11638 Highway 27 Ste 1, Summerville, GA 30747 Phone: 706-857-6366 Fax: 706-857-6372 |