Healthcare Provider Details

I. General information

NPI: 1356395214
Provider Name (Legal Business Name): HARRY M BARNES III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4145 CARMICHAEL ROAD
MONTGOMERY AL
36106-2801
US

IV. Provider business mailing address

4145 CARMICHAEL RD
MONTGOMERY AL
36106-2803
US

V. Phone/Fax

Practice location:
  • Phone: 334-273-7000
  • Fax: 334-273-2228
Mailing address:
  • Phone: 334-273-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number7847
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number7847
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: