Individual
DR. CHARLES LOWRY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3755
(501) 526-1046
(501) 526-7201
Mailing address
4301 W MARKHAM ST # 653, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C-7053
AR
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
C7053
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112561001
—
AR
01
—
50824C207
MEDICARE
AR
Enumeration date
12/19/2005
Last updated
11/05/2020
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