Organization
O'BARR INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS B O'BARR JR. M.D. (OWNER)
(404) 275-6383
Entity
Organization
Contact information
Practice address
2032 SHADY FALLS RD, BLUE RIDGE, GA 30513-5578
(404) 275-6383
Mailing address
96 CRAIG ST STE 112, EAST ELLIJAY, GA 30540-8612
(404) 275-6383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024472
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024472
STATE OF GA MEDICAL LICENSE:
GA
01
—
1255334033
THOMAS B. O'BARR JR. MD NPI NUMBER
GA
Enumeration date
05/12/2009
Last updated
07/24/2021
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