Provider Demographics
NPI:1245328954
Name:RHODES, BARBARA SERLE (DC)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:SERLE
Last Name:RHODES
Suffix:
Gender:F
Credentials:DC
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 697
Mailing Address - Street 2:140 SOUTH CHEROKEE ROAD
Mailing Address - City:SOCIAL CIRCLE
Mailing Address - State:GA
Mailing Address - Zip Code:30025-0697
Mailing Address - Country:US
Mailing Address - Phone:770-464-4446
Mailing Address - Fax:770-464-4447
Practice Address - Street 1:140 SOUTH CHEROKEE ROAD
Practice Address - Street 2:
Practice Address - City:SOCIAL CIRCLE
Practice Address - State:GA
Practice Address - Zip Code:30025
Practice Address - Country:US
Practice Address - Phone:770-464-4446
Practice Address - Fax:770-464-4447
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGEORGIA 2234111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU79092Medicare UPIN
GA35ZCGXVMedicare PIN