Barnes, Larry Wayne
Barnes, Larry Wayne is an sole proprietor health care provider with primary practice located at 2330 Thornton Taylor Pkwy Suite A, Fayetteville TN 37334-3672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Barnes, Larry Wayne can be contacted via phone (931) 433-9900.Contact Information
Primary practice address
2330 Thornton Taylor Pkwy Suite A
Fayetteville TN 37334-3672
Phone: (931) 433-9900
Fax: (931) 433-9999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 16030 | Tennessee |
Profile Details
| NPI number | 1932295342 |
|---|---|
| LBN Legal business name | Barnes, Larry Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 7th, 2008 - about 18 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932295342 | NPPES |
| Tennessee | MEDICAID | 3018446 | |
| Tennessee | Other | 124919 | |
| Tennessee | Other | 443912 |
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