Provider Demographics
NPI:1134320468
Name:HAND SURGERY CLINIC PLLC
Entity Type:Organization
Organization Name:HAND SURGERY CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:731-285-1119
Mailing Address - Street 1:1365 FLOWERING DOGWOOD LN STE F
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-2884
Mailing Address - Country:US
Mailing Address - Phone:731-285-1119
Mailing Address - Fax:731-285-1195
Practice Address - Street 1:1365 FLOWERING DOGWOOD LN STE F
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-2884
Practice Address - Country:US
Practice Address - Phone:731-285-1119
Practice Address - Fax:731-285-1195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38546261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNC76523Medicare UPIN