Healthcare Provider Details

I. General information

NPI: 1467433623
Provider Name (Legal Business Name): HARRY ALBERT BARTEE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 10/29/2026
Certification Date: 10/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 STARLYN AVE
NEW ALBANY MS
38652-2428
US

IV. Provider business mailing address

232 STARLYN AVE
NEW ALBANY MS
38652-2428
US

V. Phone/Fax

Practice location:
  • Phone: 662-486-5122
  • Fax:
Mailing address:
  • Phone: 662-486-5122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14560
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number14560
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD.41757
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: