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Individual

DR. MICHAEL R BARNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4319 A LAWRENCEVILLE HWY, LILBURN EYECARE, LILBURN, GA 30047
(770) 921-4707
(770) 925-8973
Mailing address
4319 A LAWRENCEVILLE HWY, LILBURN EYECARE, LILBURN, GA 30047
(770) 921-4707
(770) 925-8973

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
728T
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202I418862
PTAN
GA
01
410021154
MEDICARE RAILROAD
01
GRP1065
GROUP PTAN
GA
Enumeration date
12/21/2005
Last updated
03/12/2015
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