| Doctor Name: | MR. TEJAY WAYNE BARTON |
| NPI Number: | 1033360565 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | HS2 |
| License Number: | |
| Business Practice Address: | 101 South Broad St. Mobile, AL - 36615 |
| Business Phone Number: | 2514416240 |
| Business Fax Number: | 1251441549 |
| Mailing Address: | 7357 Buckwheat Tree Rd, VANCLEAVE |
| State: | MS |
| Postal Code: | 395655060 |
| Phone Number: | 2514416240 |
| Fax Number: | 2514415498 |
| NPI Enumeration Date: | 10/02/2008 |
| NPI Last Update Date: | 10/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |