Provider Demographics
NPI:1033266051
Name:GEDDIE, BARBARA PERRY (RN, MSN,CS)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:PERRY
Last Name:GEDDIE
Suffix:
Gender:F
Credentials:RN, MSN,CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 CHESTNUT GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7066
Mailing Address - Country:US
Mailing Address - Phone:336-886-4256
Mailing Address - Fax:336-886-4256
Practice Address - Street 1:1701 CHESTNUT GLEN WAY
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7066
Practice Address - Country:US
Practice Address - Phone:336-886-4256
Practice Address - Fax:336-886-4256
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC036551163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC35021OtherBCBS PROVIDER NUMBER