MEDICARE: BARNETT MEDICAL, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841491552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARNETT MEDICAL, INC

Provider Business Mailing Address
First Line	:	PO BOX 856
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29528-0856
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 HIGHWAY 378
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29527-4905
Country	:	US
Telephone Number	:	843-248-3392
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUDY L BARNETT
Credential	:
Telephone Number	:	843-248-3392

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	08/22/2020

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