Individual
JUANETTA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2597 THORNGATE WAY, ACWORTH, GA 30101-8837
(678) 577-2351
Mailing address
2597 THORNGATE WAY, ACWORTH, GA 30101-8837
(678) 577-2351
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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