Healthcare Provider Details
I. General information
NPI: 1548357239
Provider Name (Legal Business Name): CAROL A. BARBEE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/06/2006
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5353 REYNOLDS ST
SAVANNAH GA
31405-6015
US
IV. Provider business mailing address
5354 REYNOLDS ST STE 318
SAVANNAH GA
31405-6010
US
V. Phone/Fax
- Phone: 912-819-4870
- Fax: 912-819-4821
- Phone: 912-819-4836
- Fax: 912-819-4821
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN081625 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN081625 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: