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Individual

MS. DENISE RENEE BAREFIELD PENDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
019873
GA
207W00000X
Ophthalmology Physician
Primary
4482
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051550639
AL
Enumeration date
12/13/2005
Last updated
12/20/2010
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