Individual
DR. GARY JOSEPH BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3109 CASEY ST, SUITE B, LORIS, SC 29569-2807
(843) 756-8090
(843) 756-6122
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 756-8090
(843) 756-6122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC11051
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08905123
NC MDCAID
—
05
—
GB0648
—
SC
Enumeration date
08/04/2006
Last updated
02/01/2021
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