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NPI Code Detail

MEDICARE: BROOKE RAWLS BARTON

MEDICARE:   BROOKE RAWLS BARTON
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
1363LA2100XAcute Care Nurse Practitioner1-108384AL

General Provider Information

NPI Number : 1104156181
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE RAWLS BARTON
Provider Business Mailing Address
First Line : 510 20TH ST S
Second Line : FOT 9TH FLOOR STE 905
City : BIRMINGHAM
State : AL
Zip : 35233-2028
Country : US
Telephone Number : 205-934-7898
Fax Number : 205-934-0973
Provider Business Practice Location Address
First Line : 510 20TH ST S
Second Line : FOT 9TH FLOOR STE 905
City : BIRMINGHAM
State : AL
Zip : 35233-2028
Country : US
Telephone Number : 205-934-7898
Fax Number : 205-934-0973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2010
Last Update Date : 01/13/2010

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Directions to “ BROOKE RAWLS BARTON ” Practice Location

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