Healthcare Provider Details

I. General information

NPI: 1588665277
Provider Name (Legal Business Name): HENRY H. BARNARD II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 04/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 LAKE PARK DR
ALBANY GA
31707-3183
US

IV. Provider business mailing address

PO BOX 71367
ALBANY GA
31708-1367
US

V. Phone/Fax

Practice location:
  • Phone: 229-435-0525
  • Fax: 229-434-9827
Mailing address:
  • Phone: 229-435-0525
  • Fax: 229-434-9827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number15198
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number027961
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: