Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERRY DEWAYNE AYCOCK, CPO
ActiveBERRY DEWAYNE AYCOCK, CPO is a Orthotist healthcare provider located in PINEHURST, North Carolina. NPI 1386204923 is currently active in the NPPES registry. Verify at CMS.
Orthotist · PINEHURST, NC
Registration Details
- NPI Number
- 1386204923
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2019 (7.1266324562933 yrs)
- Last Updated
- Jun 17, 2019
- Licenses
-
02948 (GA)02948 (GA)
Practice Information
- Address
-
325 PAGE RD N STE 3PINEHURST, NC, 283740088Browse NC providers · Browse ZIP 28374
- Phone
- 9102952828
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Orthotist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.