Individual
DR. LARRY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 WESTERN BLVD, JACKSONVILLE, NC 28546-6341
(910) 577-1555
(910) 577-1841
Mailing address
325 WESTERN BLVD, JACKSONVILLE, NC 28546-6341
(910) 577-1555
(910) 577-1841
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
26184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13111
BCBS
NC
05
—
8913111
—
NC
Enumeration date
04/13/2007
Last updated
07/08/2007
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