Provider Demographics
NPI:1932108016
Name:BARNES, JULIE I (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:I
Last Name:BARNES
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 1:501 REDMOND ROAD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1415
Mailing Address - Country:US
Mailing Address - Phone:706-368-8452
Mailing Address - Fax:706-368-8453
Practice Address - Street 1:501 REDMOND ROAD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1415
Practice Address - Country:US
Practice Address - Phone:706-368-8452
Practice Address - Fax:706-368-8453
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052663207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1063531416Medicaid
AL112299Medicaid
G16999Medicare UPIN
AL1063531416Medicaid
GA511I110623Medicare PIN