Healthcare Provider Details

I. General information

NPI: 1821091232
Provider Name (Legal Business Name): ROBERT THOMAS BAROWSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 10/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340A NORTHEAST BLVD JORDAN SHOPPING CENTER
CLINTON NC
28328-2424
US

IV. Provider business mailing address

340A NORTHEAST BLVD JORDAN SHOPPING CENTER
CLINTON NC
28328-2424
US

V. Phone/Fax

Practice location:
  • Phone: 910-592-5379
  • Fax: 910-592-5353
Mailing address:
  • Phone: 910-592-5379
  • Fax: 910-592-5353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2001-01520
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: