Provider Demographics
NPI:1417257270
Name:MARGUERITE J. BARBER-OWENS
Entity Type:Organization
Organization Name:MARGUERITE J. BARBER-OWENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARBER-OWNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-262-1100
Mailing Address - Street 1:3091 GASTON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36105-1500
Mailing Address - Country:US
Mailing Address - Phone:334-262-1100
Mailing Address - Fax:334-262-1118
Practice Address - Street 1:3091 GASTON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36105-1500
Practice Address - Country:US
Practice Address - Phone:334-262-1100
Practice Address - Fax:334-262-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
110144997OtherRAILROAD MEDICARE
AL000026492OtherMEDICARE
AL000026492Medicaid
AL51026492OtherBCBS OF ALABAMA
AL000026492Medicaid