Individual
TEODOR VITENBERG BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
878 VISTAVIA CIR, DECATUR, GA 30033-3425
(512) 577-7226
Mailing address
878 VISTAVIA CIR, DECATUR, GA 30033-3425
(512) 577-7226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5289
GA
Other
Enumeration date
03/25/2008
Last updated
04/07/2008
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