| Larry Barnes, M.d. | |
|
2330 Thornton Taylor Pkwy Suite A Fayetteville TN 37334-3630 | |
| (931) 433-9900 | |
| (931) 433-9999 |
| Full Name | Larry Barnes, M.d. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2330 Thornton Taylor Pkwy, Fayetteville, Tennessee |
| Authorized Official Name and Position | Larry Wayne Barnes (DR) |
| Authorized Official Contact | 9314339900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Barnes, M.d. 2330 Thornton Taylor Pkwy Suite A Fayetteville TN 37334-3630 Ph: (931) 433-9900 | Larry Barnes, M.d. 2330 Thornton Taylor Pkwy Suite A Fayetteville TN 37334-3630 Ph: (931) 433-9900 |
| NPI Number | 1427253533 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427253533 | NPI | - | NPPES |
| 3018446 | Medicaid | TN | |
| 124919 | Other | TN | BLUE CROSS BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 16030 (Tennessee) | Primary |
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