Healthcare Provider Details

I. General information

NPI: 1346730587
Provider Name (Legal Business Name): TONIA CHERNAY BARNES CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 05/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S HERLONG AVE
ROCK HILL SC
29732-1158
US

IV. Provider business mailing address

1509 MELISSA DR
FORT MILL SC
29715-5587
US

V. Phone/Fax

Practice location:
  • Phone: 803-985-4551
  • Fax: 803-985-4543
Mailing address:
  • Phone: 864-621-0316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number225724
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: