Provider Demographics
NPI:1720365208
Name:NORTHCUTT, BRITTANY SWAFFORD (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SWAFFORD
Last Name:NORTHCUTT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 APPALACHIAN HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-4295
Mailing Address - Country:US
Mailing Address - Phone:706-632-8535
Mailing Address - Fax:706-632-8485
Practice Address - Street 1:5425 APPALACHIAN HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-4295
Practice Address - Country:US
Practice Address - Phone:706-632-8535
Practice Address - Fax:706-632-8485
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPT010501225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA116873Medicare Oscar/Certification