Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 26326 | GA |
NPI | 1003880766 |
---|---|
Provider Name | Dr. Mary Elizabeth Barker |
First Address | Austell, GA 30106-6810 |
Second Address | Austell, GA 30106-6810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 14/10/2019 |