Provider Demographics
NPI:1336369701
Name:BARBER, TABATHA JEAN (DO)
Entity Type:Individual
Prefix:DR
First Name:TABATHA
Middle Name:JEAN
Last Name:BARBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:TABATHA
Other - Middle Name:JEAN
Other - Last Name:PEFLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18008 WOODLAND TRL
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-2826
Mailing Address - Country:US
Mailing Address - Phone:616-502-1484
Mailing Address - Fax:866-651-5153
Practice Address - Street 1:18008 WOODLAND TRL
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-2826
Practice Address - Country:US
Practice Address - Phone:616-502-1484
Practice Address - Fax:866-651-5153
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016413207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology