MEDICARE: DR. FLOYD JAMES BARKER II D.O

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	207Q00000X	Family Medicine Physician	DO0000000968	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417932914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLOYD JAMES BARKER II D.O

Provider Business Mailing Address
First Line	:	132 W MAIN ST
Second Line	:
City	:	MOUNTAIN CITY
State	:	TN
Zip	:	37683-1308
Country	:	US
Telephone Number	:	423-727-4561
Fax Number	:	423-727-4556

Provider Business Practice Location Address
First Line	:	132 W MAIN ST
Second Line	:
City	:	MOUNTAIN CITY
State	:	TN
Zip	:	37683-1308
Country	:	US
Telephone Number	:	423-727-4561
Fax Number	:	423-727-4556

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

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	03/17/2010

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