Cameron Dewitt Barham, MSPT
Individual provider Active NPI Physical Therapist · Riverdale, GA
NPI 1184844102 · NPPES record last updated Jun 26, 2015
Key facts
- NPI
- 1184844102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT006802 (GA)
- Practice address
- 150 Medical Way
Ste E1
Riverdale, GA 30274-2533 - Phone
- (770) 991-2747
- Fax
- (770) 991-1704
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon Orthopaedic & Hand Center, PA | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006802 | GA | Yes |
Addresses
Primary practice location
150 Medical Way
Ste E1
Riverdale, GA 30274-2533
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other providers in Riverdale, GA
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- Tannisa D Bailey
- Dashawn Bakari
- Dashana Barcia
- Lanise M Barnett
- Odell Barnwell III
- Laura Colleen Baskett
- Franklin Damon Battle
- Kindra Battles
All providers in Riverdale, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.