Doctor Name: | REBECCA BARTON |
NPI Number: | 1669650354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0024166155 |
Business Practice Address: | 2966 Slate Creek Road Heritage Hall Grundy, VA - 24614 |
Business Phone Number: | 2769358144 |
Business Fax Number: | |
Mailing Address: | 119 Boone Ridge Dr, Suite 201 JOHNSON CITY |
State: | TN |
Postal Code: | 376154998 |
Phone Number: | 4232821480 |
Fax Number: | 4239281353 |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 11/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 0024166155 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |