Provider Demographics
NPI:1720473820
Name:BARKSDALE, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BARKSDALE
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 1:1605 S LOCUST AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-4053
Mailing Address - Country:US
Mailing Address - Phone:931-762-4400
Mailing Address - Fax:931-762-4499
Practice Address - Street 1:1605 S LOCUST AVE STE 101
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-4053
Practice Address - Country:US
Practice Address - Phone:931-762-4400
Practice Address - Fax:931-762-4499
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN860213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist