Healthcare Provider Details

I. General information

NPI: 1447411376
Provider Name (Legal Business Name): ALINA G. BARRETT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1266 GA HWY 515
JASPER GA
30143
US

IV. Provider business mailing address

1107 E 66TH ST
SAVANNAH GA
31404-5701
US

V. Phone/Fax

Practice location:
  • Phone: 706-301-5350
  • Fax: 706-301-5352
Mailing address:
  • Phone: 912-350-8404
  • Fax: 912-350-7351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number65109
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number65109
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: