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Individual

MRS. BARBARA F. LAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1265 HWY 54 W, SUITE 401, FAYETTEVILLE, GA 30214
(800) 951-7850
(843) 491-4023
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576
(843) 651-2624
(843) 491-4023

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN125594
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000738999
GA
01
43ZCBTV06
MEDICARE PROVIDER NUMBER
GA
Enumeration date
10/05/2007
Last updated
07/06/2015
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