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NPI Code Detail

MEDICARE: SUSAN J BARNES MD

MEDICARE: SUSAN J 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
12085R0202XDiagnostic Radiology Physician200500998NC

Other Identifiers

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

General Provider Information

NPI Number : 1942283197
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN J BARNES MD
Provider Business Mailing Address
First Line : 3623 LATROBE DR STE 216
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2117
Country : US
Telephone Number : 704-926-1827
Fax Number : 704-926-1832
Provider Business Practice Location Address
First Line : 3623 LATROBE DR STE 216
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2117
Country : US
Telephone Number : 704-926-1827
Fax Number : 704-926-1832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 01/31/2014

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