Provider Demographics
NPI:1568456069
Name:BARNETT, ROBERT M III (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:BARNETT
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:721 GLENWOOD DR
Mailing Address - Street 2:SUITE W460
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1106
Mailing Address - Country:US
Mailing Address - Phone:423-495-2600
Mailing Address - Fax:423-495-2604
Practice Address - Street 1:721 GLENWOOD DR
Practice Address - Street 2:SUITE W460
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1106
Practice Address - Country:US
Practice Address - Phone:423-495-2600
Practice Address - Fax:423-495-2604
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2008-05-22
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Provider Licenses
StateLicense IDTaxonomies
TN9989208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3185441Medicare ID - Type Unspecified