Individual
DYNIECIA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 WHITE HAVEN DR SW, STE 100 / SALON 121, MARIETTA, GA 30064
(770) 799-6807
(866) 799-9972
Mailing address
5284 FLOYD RD SW UNIT 1669, MABLETON, GA 30126-6115
(678) 615-6042
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO123711
GA
Other
Enumeration date
10/18/2017
Last updated
06/05/2018
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