Provider Demographics
NPI:1336420025
Name:BARKER, MEREDITH AMELIA ANNE
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:AMELIA ANNE
Last Name:BARKER
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 1:3603 FENWICK VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-5500
Mailing Address - Country:US
Mailing Address - Phone:518-669-1805
Mailing Address - Fax:
Practice Address - Street 1:11509 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1901
Practice Address - Country:US
Practice Address - Phone:518-669-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025743183500000X
IN26024252A183500000X
MAPH233232183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist