Individual
DR. ROBERT A BAREFOOT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
Mailing address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34245
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
T6123
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10209
BCBSNC
NC
05
—
7906327
—
NC
01
—
P00452442
RAILROAD MEDICARE
NC
Enumeration date
03/12/2007
Last updated
03/25/2015
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