Basic Information
Provider Information
NPI: 1518349158
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARTON
FirstName: GARRETT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3239
Address2:  
City: FLORENCE
State: SC
PostalCode: 295023239
CountryCode: US
TelephoneNumber: 8437779098
FaxNumber: 8437775102
Practice Location
Address1: 710 CHESTERFIELD HWY
Address2:  
City: CHERAW
State: SC
PostalCode: 29520
CountryCode: US
TelephoneNumber: 8435372171
FaxNumber: 8435375926
Other Information
ProviderEnumerationDate: 06/19/2015
LastUpdateDate: 02/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X38271SCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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