Provider Demographics
NPI:1275552317
Name:MIDDLETON, BARBARA CIROU (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:CIROU
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:COMER
Mailing Address - State:GA
Mailing Address - Zip Code:30629-0292
Mailing Address - Country:US
Mailing Address - Phone:706-795-0494
Mailing Address - Fax:706-795-0295
Practice Address - Street 1:298 GENERAL DANIEL AVE S
Practice Address - Street 2:
Practice Address - City:DANIELSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30633-7014
Practice Address - Country:US
Practice Address - Phone:706-795-0494
Practice Address - Fax:706-795-0295
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GRP3040OtherGROUP MEDICARE #
GA001918OtherSTATE LICENSE
GRP3040OtherGROUP MEDICARE #
35ZCHPHMedicare ID - Type Unspecified