Individual
SAM BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 ENTERPRISE BLVD, STE 101, GREENVILLE, SC 29615-6300
(864) 454-8120
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14650
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146504
—
SC
05
—
890659K
—
NC
01
—
P00801498
RR MEDICARE
SC
Enumeration date
11/15/2006
Last updated
07/31/2013
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