Provider Demographics
NPI:1447576350
Name:BARR, VALRY WARD JR (MD, FACS)
Entity Type:Individual
Prefix:
First Name:VALRY
Middle Name:WARD
Last Name:BARR
Suffix:JR
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:V
Other - Middle Name:WARD
Other - Last Name:BARR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1801 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-8259
Mailing Address - Country:US
Mailing Address - Phone:931-454-1067
Mailing Address - Fax:931-461-4690
Practice Address - Street 1:1801 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-8259
Practice Address - Country:US
Practice Address - Phone:931-454-1067
Practice Address - Fax:931-461-4690
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46070207T00000X
PAMDO18809E207T00000X
LAMD010395207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC29539Medicare Oscar/Certification