Healthcare Provider Details

I. General information

NPI: 1528034584
Provider Name (Legal Business Name): JAMES EDWIN BARTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 05/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 GOOCH DRIVE THE COLLEGE OF WILLIAM AND MARY STUDENT HEALTH CENTER
WILLIAMSBURG VA
23187-8795
US

IV. Provider business mailing address

P.O. BOX 8795 THE COLLEGE OF WILLIAM AND MARY STUDENT HEALTH CENTER
WILLIAMSBURG VA
23187-8795
US

V. Phone/Fax

Practice location:
  • Phone: 757-259-1900
  • Fax: 757-259-1901
Mailing address:
  • Phone: 757-221-4386
  • Fax: 757-221-1245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101025092
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: