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Individual

FREDERICK JAMES BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1031 W MADISON AVE, ATHENS, TN 37303-3498
(865) 373-7100
(865) 373-7101
Mailing address
1031 W MADISON AVE, ATHENS, TN 37303-3498
(865) 373-7100
(865) 373-7101

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-030947B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2296359
OH
05
Q065403
TN
Enumeration date
04/24/2006
Last updated
05/27/2021
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