Provider Demographics
NPI:1609919398
Name:HONEYCUTT, BARRY LEE (RN, DON)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:LEE
Last Name:HONEYCUTT
Suffix:
Gender:M
Credentials:RN, DON
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 630
Mailing Address - Street 2:154 BLOUNTVILLE BYPASS
Mailing Address - City:BLOUNTVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37617-0630
Mailing Address - Country:US
Mailing Address - Phone:423-279-2777
Mailing Address - Fax:423-279-2797
Practice Address - Street 1:154 BLOUNTVILLE BYPASS
Practice Address - Street 2:SULLIVAN CO REGIONAL HEALTH DEPT.
Practice Address - City:BLOUNTVILLE
Practice Address - State:TN
Practice Address - Zip Code:37617-0630
Practice Address - Country:US
Practice Address - Phone:423-279-2777
Practice Address - Fax:423-279-2797
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000119844163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3170197Medicare ID - Type UnspecifiedMEDICARE NUMBER FOR BLOUN
TNB58933Medicare UPIN