Provider Demographics
NPI:1295012920
Name:BARNES, JUSTINE R (PA-C)
Entity Type:Individual
Prefix:
First Name:JUSTINE
Middle Name:R
Last Name:BARNES
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2707 MEDICAL OFFICE PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9458
Mailing Address - Country:US
Mailing Address - Phone:919-735-9146
Mailing Address - Fax:919-735-0582
Practice Address - Street 1:2615 HOSPITAL RD STE 300
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9424
Practice Address - Country:US
Practice Address - Phone:919-734-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2021-09-20
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Provider Licenses
StateLicense IDTaxonomies
NC0010-03211363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant