MEDICARE: GILBERT ANDERSON BARNES MS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	690	NC

General Provider Information

NPI Number	:	1891968095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILBERT ANDERSON BARNES MS

Provider Business Mailing Address
First Line	:	5566 THOMAS RD
Second Line	:
City	:	HENDERSON
State	:	NC
Zip	:	27537-8947
Country	:	US
Telephone Number	:	252-492-7385
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 HYCO STREET
Second Line	:
City	:	NORLINA
State	:	NC
Zip	:	27563
Country	:	US
Telephone Number	:	252-456-9900
Fax Number	:	252-456-9905

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

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	08/15/2012

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