Provider Demographics
NPI:1790713279
Name:BARBER, KAREN G
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:G
Last Name:BARBER
Suffix:
Gender:F
Credentials:
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 877
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277-0877
Mailing Address - Country:US
Mailing Address - Phone:770-254-9419
Mailing Address - Fax:770-254-9419
Practice Address - Street 1:1260 HIGHWAY 54 W
Practice Address - Street 2:SUITE 101
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4514
Practice Address - Country:US
Practice Address - Phone:404-392-7110
Practice Address - Fax:770-254-9419
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4808225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA5709663OtherAETNA PROVIDER NUMBER
GAP00267638OtherRAILROAD MEDICARE PROV.
GA52672107004OtherBC/BS PROVIDER NUMBER
GAP00267638OtherRAILROAD MEDICARE PROV.
GAQ34270Medicare UPIN