Organization
BARIUM SPRINGS HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KOPPELMEYER (PRESIDENT)
(704) 873-1011
Entity
Organization
Contact information
Practice address
135 BURROUGHS LOOP, STATESVILLE, NC 28677-6238
(701) 873-1011
(704) 832-2253
Mailing address
156 FRAZIER LOOP, STATESVILLE, NC 28677-6238
(704) 873-1011
(704) 832-2253
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891266E
—
NC
Enumeration date
12/12/2007
Last updated
12/12/2007
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