Basic Information
Provider Information
NPI: 1033188503
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNES
FirstName: JOSEPH
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 975 JOHNSON FERRY RD NE
Address2: SUITE 400
City: ATLANTA
State: GA
PostalCode: 303421619
CountryCode: US
TelephoneNumber: 4042521137
FaxNumber: 4042526794
Practice Location
Address1: 975 JOHNSON FERRY RD NE
Address2: SUITE 400
City: ATLANTA
State: GA
PostalCode: 303421619
CountryCode: US
TelephoneNumber: 4042521137
FaxNumber: 4042526794
Other Information
ProviderEnumerationDate: 03/16/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X012074GAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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