Healthcare Provider Details

I. General information

NPI: 1063410173
Provider Name (Legal Business Name): ANTHONY EDWARD BARNES M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HILLCREST PKWY
DUBLIN GA
31021-4208
US

IV. Provider business mailing address

PO BOX 117896
ATLANTA GA
30368-7896
US

V. Phone/Fax

Practice location:
  • Phone: 478-334-2800
  • Fax: 478-275-9134
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number041718
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: