Provider Demographics
NPI:1770704363
Name:NORVELL, BARBARA LAWANA (DPM)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LAWANA
Last Name:NORVELL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 SNAPFINGER RD STE D
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-2300
Mailing Address - Country:US
Mailing Address - Phone:770-981-6940
Mailing Address - Fax:404-355-4512
Practice Address - Street 1:2575 SNAPFINGER RD STE D
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-2300
Practice Address - Country:US
Practice Address - Phone:770-981-6940
Practice Address - Fax:404-355-4512
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002168213ES0103X
GAPOD001107213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery