Provider Demographics
NPI:1043287766
Name:BARNHARDT, VIRGINIA J (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:J
Last Name:BARNHARDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:590 MEDICAL PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753
Mailing Address - Country:US
Mailing Address - Phone:828-649-0800
Mailing Address - Fax:828-649-1032
Practice Address - Street 1:119 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-9500
Practice Address - Country:US
Practice Address - Phone:828-689-3507
Practice Address - Fax:828-689-3505
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC000039391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8913429Medicaid
NC8913429Medicaid
NCF42261Medicare UPIN