Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01078355A | IN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 71925 | GA |
NPI | 1295970978 |
---|---|
Provider Name | Justin Edward Barrett |
First Address | Atlanta, GA 30374-2616 |
Second Address | Gainesville, GA 30501-3875 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2008 |
Last Update Date | 02/02/2022 |