Individual
GRANT PATRICK BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3817
Mailing address
655 W 8TH ST, PO BOX C-506, JACKSONVILLE, FL 32209-6511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
90868
GA
208D00000X
General Practice Physician
ME154935
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
04/03/2022
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