MR. Earl James Barber II, STUDENT

NPI #1083148738 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1083148738
Entity Type: Individual
Name: MR. Earl James Barber II, STUDENT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT
Enumeration Date: Apr 19, 2017
Last Updated: Apr 19, 2017

Practice Location

Address: 2113 PUTNAM LN
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-3655
Phone: (629) 203-4860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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