Healthcare Provider Details

I. General information

NPI: 1033159520
Provider Name (Legal Business Name): TRACY ROBIN BAREFIELD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E HUGH ST
NORTH AUGUSTA SC
29841-2925
US

IV. Provider business mailing address

PO BOX 2510
EVANS GA
30809-2510
US

V. Phone/Fax

Practice location:
  • Phone: 803-279-6800
  • Fax: 803-279-2876
Mailing address:
  • Phone: 706-922-8251
  • Fax: 706-922-6695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29577
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: