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Individual

DR. JOHN MARTIN BARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9 RICHLAND MEDICAL PARK DR, STE 510, COLUMBIA, SC 29203-6859
(803) 256-2483
(803) 748-1710
Mailing address
9 RICHLAND MEDICAL PARK DR, STE 510, COLUMBIA, SC 29203-6859
(803) 256-2483
(803) 748-1710

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-19022
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1382
MEDICAID PTAN
Enumeration date
07/07/2005
Last updated
09/30/2008
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