MEDICARE: DR. THOMAS BAYARD O'BARR JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	024472	GA

General Provider Information

NPI Number	:	1255334033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS BAYARD O'BARR JR. M.D.

Provider Business Mailing Address
First Line	:	1192 BUCKHEAD XING STE E
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-4255
Country	:	US
Telephone Number	:	678-494-4450
Fax Number	:	678-494-6265

Provider Business Practice Location Address
First Line	:	1192 BUCKHEAD XING STE E
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-4255
Country	:	US
Telephone Number	:	678-494-4450
Fax Number	:	678-494-6265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/29/2018

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