Individual
JOHN R BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09749
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114084
—
MS
05
—
1132756
—
LA
Enumeration date
06/30/2006
Last updated
11/04/2009
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