Barker, Derek Alan

Barker, Derek Alan is an individual health care provider with primary practice located at 481 E G Miles Pkwy Ste C , Hinesville GA 31313-4004. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Barker, Derek Alan can be contacted via phone (912) 432-7236.

Contact Information

Primary practice address
481 E G Miles Pkwy Ste C Hinesville GA 31313-4004
Phone: (912) 432-7236
Fax: (912) 432-7243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002322 Michigan

Profile Details

NPI number 1649408998
LBN Legal business name Barker, Derek Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Feb 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649408998 NPPES
Georgia MEDICAID 003245003B

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