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NPI Code Detail

MEDICARE: JUSTIN EDWARD BARRETT MD

MEDICARE: JUSTIN EDWARD BARRETT 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
1207X00000XOrthopaedic Surgery Physician01078355AIN
2207XS0106XOrthopaedic Hand Surgery Physician71925GA

General Provider Information

NPI Number : 1295970978
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN EDWARD BARRETT MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 1315 JESSE JEWELL PKWY NE STE 300
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3875
Country : US
Telephone Number : 770-848-6190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2008
Last Update Date : 02/02/2022

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