Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 18912 | MS |
NPI | 1164518874 |
---|---|
Provider Name | Dr. John Thomas Barringer |
First Address | Jackson, MS 39211-1801 |
Second Address | Jackson, MS 39211-1801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 27/10/2014 |