MEDICARE: JEFFREY 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
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	1257	TN

General Provider Information

NPI Number	:	1235528027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY BARNES

Provider Business Mailing Address
First Line	:	2209 RAINES CT
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-7521
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2209 RAINES CT
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-7521
Country	:	US
Telephone Number	:	931-797-3203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2015
Last Update Date	:	01/15/2015

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Directions to “ JEFFREY BARNES ” Practice Location

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