Healthcare Provider Details

I. General information

NPI: 1396741740
Provider Name (Legal Business Name): JEFFREY SCOTT BARTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 HWY 431 SUITE 150
BOAZ AL
35976
US

IV. Provider business mailing address

55 ROWE DR SUITE C
GUNTERSVILLE AL
35976
US

V. Phone/Fax

Practice location:
  • Phone: 256-593-4560
  • Fax:
Mailing address:
  • Phone: 256-753-8810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number14641
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: