MEDICARE: DR. JAMES H BARBER JR. M. D.

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	207R00000X	Internal Medicine Physician	022386	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	110083633	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	852204	OTHER	GA	STATE HEALTH BENEFITS
2	581356947	OTHER	GA	PRACTICE FEDERAL TAX ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982698346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES H BARBER JR. M. D.

Provider Business Mailing Address
First Line	:	200 MAPLE DR
Second Line	:	P O BOX 1367
City	:	VIDALIA
State	:	GA
Zip	:	30474-8907
Country	:	US
Telephone Number	:	912-537-9851
Fax Number	:	912-537-9843

Provider Business Practice Location Address
First Line	:	200 MAPLE DR
Second Line	:
City	:	VIDALIA
State	:	GA
Zip	:	30474-8907
Country	:	US
Telephone Number	:	912-537-9851
Fax Number	:	912-537-9843

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	01/29/2010

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