Russ-Barber, Stephanie L.
Russ-Barber, Stephanie L. is an individual health care provider with primary practice located at 2587 Willow Point Way , Knoxville TN 37931-3162. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Russ-Barber, Stephanie L. can be contacted via phone (865) 470-2560.Contact Information
Primary practice address
2587 Willow Point Way
Knoxville TN 37931-3162
Phone: (865) 470-2560
Fax: (865) 691-5883
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 051725 | Georgia |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | TL28480 | South Carolina |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 48935 | Tennessee |
Profile Details
NPI number | 1265405468 |
---|---|
LBN Legal business name | Russ-Barber, Stephanie L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Dec 18th, 2019 - about 5 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 | 1265405468 | NPPES |
Georgia | MEDICAID | 085003062G | |
Georgia | MEDICAID | Q000722 |
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