Healthcare Provider Details

I. General information

NPI: 1427023506
Provider Name (Legal Business Name): DAVID R BARNES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 02/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 GUNBARREL RD SUITE 301
CHATTANOOGA TN
37421-7137
US

IV. Provider business mailing address

1755 GUNBARREL RD SUITE 301
CHATTANOOGA TN
37421-7137
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-8582
  • Fax: 423-778-8594
Mailing address:
  • Phone: 423-778-8582
  • Fax: 423-778-8594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD0000008053
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD008053
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: