Individual
MR. CHANCEY PERICO BARNES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
55 TRILLIUM CT, WETUMPKA, AL 36092-7485
(334) 514-6090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-046719
AL
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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