Provider Demographics
NPI:1467978346
Name:BARBER, HERBERT LAMAR JR (RN)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:LAMAR
Last Name:BARBER
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 GOLSON RD E
Mailing Address - Street 2:
Mailing Address - City:FORT DEPOSIT
Mailing Address - State:AL
Mailing Address - Zip Code:36032-4508
Mailing Address - Country:US
Mailing Address - Phone:334-227-4503
Mailing Address - Fax:334-227-4620
Practice Address - Street 1:554 GOLSON RD E
Practice Address - Street 2:
Practice Address - City:FORT DEPOSIT
Practice Address - State:AL
Practice Address - Zip Code:36032-4508
Practice Address - Country:US
Practice Address - Phone:334-227-4503
Practice Address - Fax:334-227-4620
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2021-07-02
Deactivation Date:2021-05-18
Deactivation Code:
Reactivation Date:2021-07-02
Provider Licenses
StateLicense IDTaxonomies
AL1-123333163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse