Individual
ROGER DARNELL BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1499 KENNEDY RD, TIFTON, GA 31794-4176
(229) 382-7323
(229) 382-7375
Mailing address
1499 KENNEDY RD, TIFTON, GA 31794-4176
(229) 382-7323
(229) 382-7375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
581814761
GA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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