Individual
DR. LANCE DOUGLAS BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
18 FELTON PL, CARTERSVILLE, GA 30120-2152
(770) 386-8620
(770) 386-8620
Mailing address
18 FELTON PLACE, CARTERSVILLE, GA 30120
(770) 386-8620
(770) 386-8620
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000642
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00479399A
—
GA
Enumeration date
06/28/2006
Last updated
07/08/2007
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