Doctor Name: | CHARLES BARKER |
NPI Number: | 1568425122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | R-3076 |
Business Practice Address: | 1372 Main Street Altamont, TN - 373013626 |
Business Phone Number: | 9316923641 |
Business Fax Number: | 9316922201 |
Mailing Address: | 1372 Main Street, ALTAMONT |
State: | TN |
Postal Code: | 373013626 |
Phone Number: | 9316923641 |
Fax Number: | 9316922201 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 12/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | R-3076 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |