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NPI Code Detail

MEDICARE: AMIESHA BARNES

MEDICARE:   AMIESHA  BARNES
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1073348827
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIESHA BARNES
Provider Business Mailing Address
First Line : 1403 20TH ST NE
Second Line :
City : CANTON
State : OH
Zip : 44714-2115
Country : US
Telephone Number : 740-804-1395
Fax Number :
Provider Business Practice Location Address
First Line : 1403 20TH ST NE
Second Line :
City : CANTON
State : OH
Zip : 44714-2115
Country : US
Telephone Number : 740-804-1395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2024
Last Update Date : 09/03/2024

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Directions to “ AMIESHA BARNES ” Practice Location

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