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Individual

JONATHAN MAPP BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1818 ELECTRIC RD, ROANOKE, VA 24018-1619
(540) 772-8950
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101271716
VA
207Q00000X
Family Medicine Physician
2020-00601
NC
390200000X
Student in an Organized Health Care Education/Training Program
227081
NC

Other

Enumeration date
04/19/2017
Last updated
08/28/2025
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