J Russell Barnes MD PC

NPI #1326289612 in Vicksburg, Mississippi

Provider Information

NPI Number: 1326289612
Entity Type: Organization
Organization Name: J Russell Barnes MD PC
Primary Specialty: Family Medicine
Enumeration Date: Mar 16, 2009
Last Updated: Jun 17, 2009

Practice Location

Address: 1901 MISSION 66
City: Vicksburg
State: Mississippi
ZIP Code: 39180-3711
Phone: (601) 636-0097

Authorized Official

Name: RUSSELL BARNES, MD
Title: PRES
Phone: (601) 636-0097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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