Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 053090 | GA |
Y | 208600000X | Surgeon | 053090 | GA |
N | 2082S0105X | Plastic Hand Surgeon | 053090 | GA |
N | 2086S0122X | Plastic and Reconstructive Surgery | 053090 | GA |
NPI | 1063428704 |
---|---|
Provider Name | Steven T. Barr |
First Address | Brunswick, GA 31520-4265 |
Second Address | Brunswick, GA 31520-4265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
333913572A | (05) | GA |
H95671 | (02) | GA |