Basic Information
| Provider Information | |||||||||
| NPI: | 1063770550 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNES | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | LETRELLE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 159 | ||||||||
| Address2: | |||||||||
| City: | CALVERT | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365130159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2513000255 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 19140 S 3RD ST | ||||||||
| Address2: | |||||||||
| City: | CITRONELLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365222306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2518660086 | ||||||||
| FaxNumber: | 2518660089 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2012 | ||||||||
| LastUpdateDate: | 12/28/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 33093 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.