Provider Demographics
NPI:1982698346
Name:BARBER, JAMES H JR (M D)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:BARBER
Suffix:JR
Gender:M
Credentials:M D
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Mailing Address - Street 1:200 MAPLE DR
Mailing Address - Street 2:P O BOX 1367
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-8907
Mailing Address - Country:US
Mailing Address - Phone:912-537-9851
Mailing Address - Fax:912-537-9843
Practice Address - Street 1:200 MAPLE DR
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-8907
Practice Address - Country:US
Practice Address - Phone:912-537-9851
Practice Address - Fax:912-537-9843
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2010-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA022386207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA852204OtherSTATE HEALTH BENEFITS
GA581356947OtherPRACTICE FEDERAL TAX ID
GA000221196AMedicaid
GA110083633OtherRAILROAD MEDICARE
GA852204OtherSTATE HEALTH BENEFITS