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NPI Code Detail

MEDICARE: COOKIE ELAINE BARNES

MEDICARE:   COOKIE ELAINE BARNES
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1780869750
Entity Type Code : Individual
Provider Name (Legal Business Name) : COOKIE ELAINE BARNES
Provider Business Mailing Address
First Line : 2300 SPRING GARDEN ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-2135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2300 SPRING GARDEN ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-2135
Country : US
Telephone Number : 336-294-3338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2008
Last Update Date : 01/08/2008

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Directions to “ COOKIE ELAINE BARNES ” Practice Location

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