Thompson, Barry Lane

Thompson, Barry Lane is an sole proprietor health care provider with primary practice located at 2060 Central Ave , Augusta GA 30904-4177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Thompson, Barry Lane can be contacted via phone (706) 738-4442.

Contact Information

Primary practice address
2060 Central Ave Augusta GA 30904-4177
Phone: (706) 738-4442
Fax: (770) 381-6451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 013094 Georgia

Profile Details

NPI number 1760478580
LBN Legal business name Thompson, Barry Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Jul 25th, 2013 - about 13 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 1760478580 NPPES
Georgia MEDICAID 000130666B
Georgia MEDICAID G13094
Georgia Other 406072004
Georgia Other 033800
Georgia Other 4114157
Georgia Other 265295

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