Healthcare Provider Details

I. General information

NPI: 1164518874
Provider Name (Legal Business Name): JOHN THOMAS BARRINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: J.T. BARRINGER MD

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 E COUNTY LINE RD
JACKSON MS
39211-1801
US

IV. Provider business mailing address

1551 E COUNTY LINE RD
JACKSON MS
39211-1801
US

V. Phone/Fax

Practice location:
  • Phone: 601-665-0017
  • Fax: 601-957-7344
Mailing address:
  • Phone: 601-665-0017
  • Fax: 601-957-7344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number18912
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number18912
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: