Individual
MRS. ETORDA ARETHA BARKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 MAGNOLIA WAY STE 101, AUGUSTA, GA 30909-9484
(706) 922-6600
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 854-0317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007218
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7218
LICENSE
GA
Enumeration date
06/26/2014
Last updated
05/23/2024
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