MEDICARE: JANET MCBARRON M.D.

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	174400000X	Specialist	028300	GA

General Provider Information

NPI Number	:	1558572818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET MCBARRON M.D.

Provider Business Mailing Address
First Line	:	2904 MACON RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-2204
Country	:	US
Telephone Number	:	706-322-4073
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 MACON RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-2204
Country	:	US
Telephone Number	:	706-322-4073
Fax Number	:

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

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	07/08/2007

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