Provider Demographics
NPI:1558951756
Name:BARRETT, JUSTIN (PARAMEDIC)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:BARRETT
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-1524
Mailing Address - Country:US
Mailing Address - Phone:678-472-4753
Mailing Address - Fax:
Practice Address - Street 1:3115 WESTRIDGE DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-1524
Practice Address - Country:US
Practice Address - Phone:678-472-4753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory
No251F00000XAgenciesHome Infusion