Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 06381 | MS |
NPI | 1215145834 |
---|---|
Provider Name | Dr. John Patrick Barrett |
First Address | Jackson, MS 39286-9328 |
Second Address | Jackson, MS 39216-4643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B30933 | (02) | MS |