Individual
JONATHAN BLAIR BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 DEEP SOUTH FARM RD, SUITE 100, BLAIRSVILLE, GA 30512-2218
(706) 835-3030
(706) 835-3028
Mailing address
PO BOX 116470, ATLANTA, GA 30368-6470
(770) 682-2099
(866) 423-9053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
051430
GA
2085R0001X
Radiation Oncology Physician
Primary
051430
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000959175B
—
GA
05
—
4047558
—
TN
05
—
89065TU
—
NC
01
—
92BBGBS
MEDICARE PROVIDER ID
GA
Enumeration date
06/03/2006
Last updated
02/03/2025
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