Healthcare Provider Details
I. General information
NPI: 1871573469
Provider Name (Legal Business Name): RHONEISE Y BARNETT-SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/19/2006
Last Update Date: 04/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
121 BECKS WOODS DR SUITE 100
BEAR DE
19701-3851
US
IV. Provider business mailing address
121 BECKS WOODS DR SUITE 100
BEAR DE
19701-3851
US
V. Phone/Fax
- Phone: 302-836-8200
- Fax: 302-836-4302
- Phone: 302-836-8200
- Fax: 302-836-4302
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | C1-0008363 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: