Individual
DR. SHERWOOD BAREFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-4000
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD15114
TN
2086S0127X
Trauma Surgery Physician
010140493
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007312202
—
VA
05
—
3868508
—
TN
Enumeration date
06/11/2006
Last updated
03/05/2008
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