Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 85022 | GA |
NPI | 1013334390 |
---|---|
Provider Name | Brittani Linnea Barrett-Harlow |
First Address | Mcdonough, GA 30253-4310 |
Second Address | Fayetteville, GA 30214-4574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 14/07/2020 |