Provider Demographics
NPI:1639402332
Name:BARNES-DURITY, MONICA DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:DENISE
Last Name:BARNES-DURITY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S FAYETTEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:SALEMBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28385-8406
Mailing Address - Country:US
Mailing Address - Phone:910-525-5515
Mailing Address - Fax:
Practice Address - Street 1:500 S FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:SALEMBURG
Practice Address - State:NC
Practice Address - Zip Code:28385-8406
Practice Address - Country:US
Practice Address - Phone:910-525-5515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-12
Last Update Date:2009-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101170207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine