Provider Demographics
NPI:1891949574
Name:DORSEY, BARBARA R (MSN, RN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:R
Last Name:DORSEY
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 HOSANNA RD
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-5864
Mailing Address - Country:US
Mailing Address - Phone:770-354-8763
Mailing Address - Fax:770-233-1863
Practice Address - Street 1:523 HOSANNA RD
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-5864
Practice Address - Country:US
Practice Address - Phone:770-354-8763
Practice Address - Fax:770-233-1863
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN169001163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health