Individual
ANNA BARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 SHADY GLN, DALLAS, GA 30132-0516
(770) 912-5942
Mailing address
445 SHADY GLEN, DALLAS, GA 30132
(770) 912-5942
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00093317
AL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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