Provider Demographics
NPI:1063462570
Name:BARTON, DEBORAH D (MD)
Entity Type:Individual
Prefix:MR
First Name:DEBORAH
Middle Name:D
Last Name:BARTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 MARIETTA DR
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-6748
Mailing Address - Country:US
Mailing Address - Phone:423-620-4103
Mailing Address - Fax:423-639-3075
Practice Address - Street 1:1310 MARIETTA DR
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-6748
Practice Address - Country:US
Practice Address - Phone:423-620-4103
Practice Address - Fax:423-639-3075
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13156208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3845907Medicare ID - Type Unspecified
TNB04458Medicare UPIN