Individual
MS. TANNEISHA S BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL, SUITE 205, RALEIGH, NC 27607-7513
(919) 788-4444
(919) 788-4464
Mailing address
4414 LAKE BOONE TRL, SUITE 205, RALEIGH, NC 27607-7513
(919) 788-4444
(919) 788-4464
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2005-1261
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141G4
BCBS OF NC
NC
01
—
2046761A
MEDICARE
NC
Enumeration date
01/12/2006
Last updated
06/04/2012
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