Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 10044 | NC |
Y | 207VG0400X | Gynecologist | 10044 | NC |
NPI | 1083655005 |
---|---|
Provider Name | Marshall Jay Barker |
First Address | Greenville, NC 27834-9079 |
Second Address | Kinston, NC 28501-1581 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 20/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13197 | BCBS (01) | NC |
8913197 | (05) | NC |
C81771 | (02) |