Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 012074 | GA |
NPI | 1033188503 |
---|---|
Provider Name | Joseph H Barnes |
First Address | Atlanta, GA 30342-1619 |
Second Address | Atlanta, GA 30342-1619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F25148 | (02) | GA |