Provider Demographics
NPI:1578581831
Name:BARFIELD, DANIEL MALCOLM (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MALCOLM
Last Name:BARFIELD
Suffix:
Gender:M
Credentials:DO
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 667
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30703-0667
Mailing Address - Country:US
Mailing Address - Phone:706-625-1275
Mailing Address - Fax:706-629-5037
Practice Address - Street 1:100 HOSPITAL CT
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-2077
Practice Address - Country:US
Practice Address - Phone:706-625-1275
Practice Address - Fax:706-629-5037
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052142174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI16060Medicare UPIN
GA16BBCLPMedicare ID - Type Unspecified