Individual
GARY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
(843) 332-3422
Mailing address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10989
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109894
—
SC
Enumeration date
08/19/2006
Last updated
07/08/2007
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