Provider Demographics
NPI:1437191186
Name:BARBER-OWENS, MARGUERITE J (MD)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:J
Last Name:BARBER-OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:36105-1515
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:36105-1515
Practice Address - Country:US
Practice Address - Phone:334-262-1100
Practice Address - Fax:334-262-1118
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000026492Medicaid
AL51026492OtherBCBS
110144997OtherRAILROAD MEDICARE
ALC73022Medicare UPIN