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Individual

DR. T ELLIS BARNES IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5354 REYNOLDS STREET, STE #202, SAVANNAH, GA 31405
(912) 352-0920
(912) 826-2853
Mailing address
P.O. BOX 919, RINCON, GA 31326-0919
(912) 826-4057
(912) 826-2853

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
81556
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003212562A
GA
Enumeration date
06/06/2012
Last updated
02/23/2021
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