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NPI Code Detail

MEDICARE: DR. LARRY BARNES M.D.

MEDICARE: DR. LARRY BARNES 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
1146N00000XBasic Emergency Medical Technician26184NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
213111OTHERNCBCBS

General Provider Information

NPI Number : 1801010293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY BARNES M.D.
Provider Business Mailing Address
First Line : 325 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6341
Country : US
Telephone Number : 910-577-1555
Fax Number : 910-577-1841
Provider Business Practice Location Address
First Line : 325 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6341
Country : US
Telephone Number : 910-577-1555
Fax Number : 910-577-1841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ DR. LARRY BARNES M.D.” Practice Location

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