Provider Demographics
NPI:1427027002
Name:BARBER, FREDRICK WINSTON JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:FREDRICK
Middle Name:WINSTON
Last Name:BARBER
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6200 SWEET BAY DR
Mailing Address - Street 2:
Mailing Address - City:BLACKSHEAR
Mailing Address - State:GA
Mailing Address - Zip Code:31516-4640
Mailing Address - Country:US
Mailing Address - Phone:912-285-0764
Mailing Address - Fax:912-285-0764
Practice Address - Street 1:731 CAMERON DR
Practice Address - Street 2:
Practice Address - City:BLACKSHEAR
Practice Address - State:GA
Practice Address - Zip Code:31516-1309
Practice Address - Country:US
Practice Address - Phone:912-449-4444
Practice Address - Fax:912-449-8735
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARPH 009806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist