MEDICARE: DR. JAMES CANNIE BARLOW 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	207RG0100X	Gastroenterology Physician	029304	GA

General Provider Information

NPI Number	:	1568465276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CANNIE BARLOW M.D.

Provider Business Mailing Address
First Line	:	1355 PEACHTREE ST NE STE 1600
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3276
Country	:	US
Telephone Number	:	678-223-7774
Fax Number	:	678-223-7799

Provider Business Practice Location Address
First Line	:	226 EAST COLLEGE STREET
Second Line	:	SUITE B
City	:	GRIFFIN
State	:	GA
Zip	:	30224
Country	:	US
Telephone Number	:	678-987-1490
Fax Number	:	678-987-1491

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	09/04/2018

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