Basic Information
| Provider Information | |||||||||
| NPI: | 1336253004 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEPHEN M. BARNETT, MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3525 PIEDMONT RD NE | ||||||||
| Address2: | BLDG 7 SUITE 601 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303051578 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4048425400 | ||||||||
| FaxNumber: | 4048488669 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 COLLIER RD NW | ||||||||
| Address2: | SUITE 1020 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303091710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043512112 | ||||||||
| FaxNumber: | 4043517211 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2006 | ||||||||
| LastUpdateDate: | 11/24/2009 | ||||||||
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| AuthorizedOfficialLastName: | BARNETT | ||||||||
| AuthorizedOfficialFirstName: | STEPHEN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 4043512112 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 015350 | GA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.