Individual
STANLEY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 WEST FRONT ST, EVERGREEN, AL 36401-9217
(251) 578-5111
Mailing address
680 WEST FRONT ST, EVERGREEN, AL 36401-9217
(251) 578-5111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14585
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51081517
BLUEE CROSS BLUE SHIELD
AL
05
—
81517
—
AL
Enumeration date
05/05/2006
Last updated
06/30/2010
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