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NPI Code Detail

MEDICARE: JEROME D BARNES MD

MEDICARE: JEROME D BARNES 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
1208M00000XHospitalist Physician075097GA
2207RC0200XCritical Care Medicine (Internal Medicine) Physician075097GA

General Provider Information

NPI Number : 1770577249
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEROME D BARNES MD
Provider Business Mailing Address
First Line : PO BOX 1705
Second Line :
City : AUGUSTA
State : GA
Zip : 30903-1705
Country : US
Telephone Number : 706-774-7263
Fax Number :
Provider Business Practice Location Address
First Line : 1350 WALTON WAY
Second Line : 3RD FLOOR
City : AUGUSTA
State : GA
Zip : 30901-2612
Country : US
Telephone Number : 706-774-5795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 03/31/2016

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