MEDICARE: BARFIELD DISPENSARY, INC

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	363LF0000X	Family Nurse Practitioner	APN7765	TN

General Provider Information

NPI Number	:	1093033318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARFIELD DISPENSARY, INC

Provider Business Mailing Address
First Line	:	2910 S CHURCH ST
Second Line	:	SUITE B
City	:	MURFREESBORO
State	:	TN
Zip	:	37127-7149
Country	:	US
Telephone Number	:	615-895-3600
Fax Number	:	615-895-0024

Provider Business Practice Location Address
First Line	:	2910 S CHURCH ST
Second Line	:	SUITE B
City	:	MURFREESBORO
State	:	TN
Zip	:	37127-7149
Country	:	US
Telephone Number	:	615-895-3600
Fax Number	:	615-895-0024

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	JACK DEMPSEY HYDRICK II
Credential	:	NP
Telephone Number	:	615-895-3600

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	10/25/2012

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