Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 13156 | TN |
NPI | 1063462570 |
---|---|
Provider Name | Mr. Deborah D Barton |
First Address | Greeneville, TN 37745-6748 |
Second Address | Greeneville, TN 37745-6748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 19/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B04458 | (02) | TN |