Individual
DR. LARRY WAYNE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2330 THORNTON TAYLOR PKWY, SUITE A, FAYETTEVILLE, TN 37334-3672
(931) 433-9900
(931) 433-9999
Mailing address
2330 THORNTON TAYLOR PKWY, SUITE A, FAYETTEVILLE, TN 37334-3672
(931) 433-9900
(931) 433-9999
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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