Individual
DR. HUGH GLENN BARNETT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W FOREST AVE STE 200, JACKSON, TN 38301-3940
(731) 423-1267
(731) 424-2550
Mailing address
PO BOX 1000, DEPT 575, MEMPHIS, TN 38148-0001
(731) 423-1267
(731) 424-2550
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD09765
TN
2084N0400X
Neurology Physician
9765
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050196
BCBST
TN
01
—
0702090003
PALMETTO GBA DME
TN
05
—
3167123
—
TN
01
—
6929
MEMPHIS MANAGED CARE
TN
Enumeration date
09/14/2006
Last updated
03/02/2011
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