Individual
DR. LARRY WAYNE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
16030
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124919
BC/BS
TN
05
—
3018446
—
TN
01
—
443912
MEDICARE PART A
TN
Enumeration date
10/04/2006
Last updated
08/07/2008
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