Individual
DR. RICHARD JOHN BARRETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 BRYAN WOODS ROAD, SAVANNAH, GA 31410-1225
(912) 898-1122
(912) 898-9944
Mailing address
602 E. 72ND STREET, SAVANNAH, GA 31405-4913
(912) 819-7878
(912) 819-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797673A
—
GA
01
—
045719
MEDICAL LICENSE
GA
01
—
52727492
BCBS GEORGIA
GA
01
—
582393308
COMMERCIAL, CHAMPVA
GA
01
—
58239330831061
CHAMPUSTRICARETRICARLIFE
GA
Enumeration date
07/11/2006
Last updated
01/30/2012
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