Individual
RANDALL STEWART BARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 E MARION ST, KERSHAW, SC 29067-1442
(803) 475-2083
Mailing address
207 W RICHLAND ST, KERSHAW, SC 29067-1260
(803) 475-2083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35240
SC
208D00000X
General Practice Physician
35240
SC
Other
Enumeration date
03/22/2010
Last updated
11/08/2021
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