Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 0101055872 | VA |
NPI | 1063480549 |
---|---|
Provider Name | Martha Louise Barnett |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22911-8844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 05/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F25249 | (02) | VA |