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NPI Code Detail

MEDICARE: MR. RODNEY N BARNES PTA

MEDICARE:  MR. RODNEY N BARNES  PTA
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
1225200000XPhysical Therapy AssistantPTA003318GA

General Provider Information

NPI Number : 1306519053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RODNEY N BARNES PTA
Provider Business Mailing Address
First Line : 1027 PRESTON LANDING CIR # 1027
Second Line :
City : LITHIA SPRINGS
State : GA
Zip : 30122-6859
Country : US
Telephone Number : 912-492-7373
Fax Number :
Provider Business Practice Location Address
First Line : 2327 N HIGHWAY 27
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-6701
Country : US
Telephone Number : 770-834-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2021
Last Update Date : 07/28/2021

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Directions to “ MR. RODNEY N BARNES PTA” Practice Location

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