Provider Demographics
NPI:1912136664
Name:R BARROWS & ASSOCIATES PA
Entity Type:Organization
Organization Name:R BARROWS & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAWNSURAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL-HAKIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-405-5690
Mailing Address - Street 1:323 UNIONVILLE INDIAN TRL RD W
Mailing Address - Street 2:SUITE A
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-7817
Mailing Address - Country:US
Mailing Address - Phone:704-821-0501
Mailing Address - Fax:704-821-0502
Practice Address - Street 1:323 UNIONVILLE INDIAN TRL RD W
Practice Address - Street 2:SUITE A
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-7817
Practice Address - Country:US
Practice Address - Phone:704-821-0501
Practice Address - Fax:704-821-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86811223G0001X
NC75281223G0001X
NC83361223G0001X
NC82431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty