Individual
BETH V BARLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
176 DERMIS RD, HARDEEVILLE, SC 29927-4161
(912) 925-0067
Mailing address
900 MOHAWK ST STE E, SAVANNAH, GA 31419-1768
(912) 925-0067
(912) 925-2381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005726
GA
363AM0700X
Medical Physician Assistant
Primary
1499
SC
363AM0700X
Medical Physician Assistant
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000PA
—
SC
05
—
102946116A
—
GA
01
—
P00799590
RAILROAD MEDICARE
GA
Enumeration date
11/13/2009
Last updated
03/31/2021
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