MEDICARE: R W BARNETT RADIOLOGY PLLC

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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1578695169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R W BARNETT RADIOLOGY PLLC

Provider Business Mailing Address
First Line	:	2257 TAYLOR RD
Second Line	:	SUITE 200
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-7790
Country	:	US
Telephone Number	:	334-270-9914
Fax Number	:	334-270-3195

Provider Business Practice Location Address
First Line	:	4135 ATLANTA HWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-3022
Country	:	US
Telephone Number	:	334-819-8702
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROSS WAYNE BARNETT
Credential	:	MD
Telephone Number	:	334-819-8702

Provider Enumeration Date	:	03/10/2007
Last Update Date	:	12/02/2010

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