MEDICARE: OA RWB LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1053766923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OA RWB LLC

Provider Business Mailing Address
First Line	:	PO BOX 242848
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36124-2848
Country	:	US
Telephone Number	:	334-386-0329
Fax Number	:

Provider Business Practice Location Address
First Line	:	7104 UNIVERSITY CT
Second Line	:	SUITE B
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-8045
Country	:	US
Telephone Number	:	334-386-0329
Fax Number	:

Authorized Official
Title or Position	:	M.D./OWNER
Name	:	ROSS BARNETT
Credential	:	M.D.
Telephone Number	:	334-386-0329

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	06/20/2019

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Directions to “OA RWB LLC ” Practice Location

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