Provider Demographics
NPI:1417932914
Name:BARKER, FLOYD JAMES II (DO)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:JAMES
Last Name:BARKER
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37683-1308
Mailing Address - Country:US
Mailing Address - Phone:423-727-4561
Mailing Address - Fax:423-727-4556
Practice Address - Street 1:132 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN CITY
Practice Address - State:TN
Practice Address - Zip Code:37683-1308
Practice Address - Country:US
Practice Address - Phone:423-727-4561
Practice Address - Fax:423-727-4556
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO0000000968207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3303319Medicaid
TNE91605Medicare UPIN
TN3303319Medicare ID - Type Unspecified