Russ-Barber, Stephanie L.

Russ-Barber, Stephanie L. is an individual health care provider with primary practice located at 2587 Willow Point Way , Knoxville TN 37931-3162. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Russ-Barber, Stephanie L. can be contacted via phone (865) 470-2560.

Contact Information

Primary practice address
2587 Willow Point Way Knoxville TN 37931-3162
Phone: (865) 470-2560
Fax: (865) 691-5883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 051725 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TL28480 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48935 Tennessee

Profile Details

NPI number 1265405468
LBN Legal business name Russ-Barber, Stephanie L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Dec 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265405468 NPPES
Georgia MEDICAID 085003062G
Georgia MEDICAID Q000722

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