Individual
RAYMOND BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 RIDGE FOREST DR, STONE MOUNTAIN, GA 30083-3882
(404) 951-1619
Mailing address
5300 RIDGE FOREST DR, STONE MOUNTAIN, GA 30083-3882
(404) 951-1619
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN089926
GA
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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