Provider Demographics
NPI:1720059777
Name:BARTON, ANN MERIWETHER (PT)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MERIWETHER
Last Name:BARTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2537 GERVAIS ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2375
Mailing Address - Country:US
Mailing Address - Phone:803-269-6091
Mailing Address - Fax:803-462-5797
Practice Address - Street 1:2537 GERVAIS ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2375
Practice Address - Country:US
Practice Address - Phone:803-269-6091
Practice Address - Fax:803-462-5797
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-29
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH0506Medicaid