Individual
MR. TEJAY WAYNE BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS2
Contact information
Practice address
101 SOUTH BROAD ST., MOBILE, AL 36615
(251) 441-6240
(125) 144-1549
Mailing address
7357 BUCKWHEAT TREE RD, VANCLEAVE, MS 39565-5060
(251) 441-6240
(251) 441-5498
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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