MEDICARE: BABETTE BARBER

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	363L00000X	Nurse Practitioner	RN089020	GA

General Provider Information

NPI Number	:	1811386477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BABETTE BARBER

Provider Business Mailing Address
First Line	:	420E 2ND AVE 103
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30161-3210
Country	:	US
Telephone Number	:	706-509-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2360 ROCKMART HWY
Second Line	:
City	:	CEDARTOWN
State	:	GA
Zip	:	30125-6029
Country	:	US
Telephone Number	:	770-748-2500
Fax Number	:

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

Provider Enumeration Date	:	01/20/2015
Last Update Date	:	10/16/2015

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Directions to “ BABETTE BARBER ” Practice Location

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