Provider Demographics
NPI:1538650098
Name:BARNER, PANSY SMITH
Entity Type:Individual
Prefix:
First Name:PANSY
Middle Name:SMITH
Last Name:BARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23868-0843
Mailing Address - Country:US
Mailing Address - Phone:804-370-6009
Mailing Address - Fax:888-229-5355
Practice Address - Street 1:2377 OLD STAGE ROAD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868
Practice Address - Country:US
Practice Address - Phone:804-370-6009
Practice Address - Fax:888-229-5355
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health