Healthcare Provider Details

I. General information

NPI: 1801991591
Provider Name (Legal Business Name): VALERIE JEAN BARNWELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1688 S HORNER BLVD
SANFORD NC
27330-5634
US

IV. Provider business mailing address

1688 S HORNER BLVD
SANFORD NC
27330-5634
US

V. Phone/Fax

Practice location:
  • Phone: 919-718-1679
  • Fax: 919-776-3746
Mailing address:
  • Phone: 919-718-1679
  • Fax: 919-776-3746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35262
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: