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NPI Code Detail

MEDICARE: DR. PAUL DOUGLAS BARRY MD

MEDICARE: DR. PAUL DOUGLAS BARRY MD
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
12085R0202XDiagnostic Radiology Physician20872NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3300065892OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113576OTHERNCBLUE CROSS BLUE SHIELD
21600265OTHERNCUNITED HEALTHCARE
468577OTHERNCMEDCOST
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
61079OTHERNCPARTNERS

General Provider Information

NPI Number : 1073503124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL DOUGLAS BARRY MD
Provider Business Mailing Address
First Line : 1331 NORTH ELM STREET
Second Line : SUITE 200
City : GREENSBORO
State : NC
Zip : 27401-6304
Country : US
Telephone Number : 336-274-9617
Fax Number : 336-482-2177
Provider Business Practice Location Address
First Line : 1331 NORTH ELM STREET
Second Line : SUITE 200
City : GREENSBORO
State : NC
Zip : 27401-6304
Country : US
Telephone Number : 336-274-9617
Fax Number : 336-482-2177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 03/18/2014

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Directions to “ DR. PAUL DOUGLAS BARRY MD” Practice Location

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