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Organization
GARY J BARRETT MD PA
Active
Organization
GARY J BARRETT MD PA
Active
Other names
Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J BARRETT MD (OWNER)
(843) 756-8090
Entity
Organization
Contact information
Practice address
3109 CASEY ST, LORIS, SC 29569
(843) 756-8090
Mailing address
PO BOX 156, LORIS, SC 29569
(843) 756-8090
(843) 756-6122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11051
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890136N
—
NC
05
—
GP0648
—
SC
Enumeration date
06/03/2006
Last updated
08/22/2020
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