Individual
MR. BENJAMIN GLENN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
249 5TH ST. EAST, GRANT, AL 35747
(256) 728-8755
Mailing address
249 5TH ST. EAST, GRANT, AL 35747
(256) 728-8755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-120328
AL
Other
Enumeration date
02/24/2011
Last updated
11/18/2011
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