Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIDGET L PETTYJOHN
Active Sole ProprietorBRIDGET L PETTYJOHN is a Prosthetic/Orthotic Supplier healthcare provider located in CHARLOTTE, North Carolina. NPI 1790529386 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · CHARLOTTE, NC
Registration Details
- NPI Number
- 1790529386
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2024 (2.1913012797276 yrs)
- Last Updated
- Jun 19, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
6120 BROOKSHIRE BLVD STE WCHARLOTTE, NC, 282163300Browse NC providers · Browse ZIP 28216
- Phone
- 7043201463
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| JAMES W. CLAIBORNE JR. | CPO | 1790981355 |
| WILLIAM T OWENS | CO | 1972793305 |
| MS. TAQIYAH CAMYAH BARBER | COSMETIC ARTS/SCALP | 1295141216 |
| JESSICA MARJORIE PHIFER | — | 1265907000 |
| MRS. DANIELLE SANTIAGO-COFIELD | — | 1033773999 |
| LAKEATA JOHNSON | LICENSED COSMETOLOGI | 1699331934 |
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.