Provider Demographics
NPI:1790253011
Name:BARNES, ZEPHRINE L (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:MS
First Name:ZEPHRINE
Middle Name:L
Last Name:BARNES
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 WARRIOR RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35218-3247
Mailing Address - Country:US
Mailing Address - Phone:205-746-4790
Mailing Address - Fax:
Practice Address - Street 1:3411 COLONNADE PKWY STE 25
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-3377
Practice Address - Country:US
Practice Address - Phone:205-746-4790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1108061744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management