Individual
DR. SHANNON T BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 VENTURE COURT, MONTICELLO, GA 31064
(706) 468-7002
(706) 468-7020
Mailing address
545 VENTURE COURT, MONTICELLO, GA 31064
(706) 468-7002
(706) 468-7020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048843
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000875025E
—
GA
01
—
048843
STATE LICENSE
GA
01
—
806988
BCBS
GA
01
—
P00143999
RAILROAD MEDICARE
GA
Enumeration date
05/30/2005
Last updated
05/16/2019
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