Provider Demographics
NPI:1356892483
Name:BARRIER, DALTON
Entity type:Individual
Prefix:
First Name:DALTON
Middle Name:
Last Name:BARRIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 LAKE FORREST RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37352-5991
Mailing Address - Country:US
Mailing Address - Phone:931-307-4590
Mailing Address - Fax:
Practice Address - Street 1:350 LAKE FORREST RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:TN
Practice Address - Zip Code:37352-5991
Practice Address - Country:US
Practice Address - Phone:931-307-4590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program