Barry Medical Clinic
Organization Active NPI Family Medicine Physician · Lilburn, GA
NPI 1033709043 · NPPES record last updated Jan 23, 2021
Key facts
- NPI
- 1033709043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BARRY MEDICAL CLINIC
- Practice address
- 4030 Lawrenceville Hwy NW Ste 9
Lilburn, GA 30047-2823 - Phone
- (678) 880-9990
- Fax
- (678) 880-8834
- NPI assigned
- Jan 23, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- K LOOR MEDICAL LLC
Authorized official
- Name
- Jeffrey Donohue, MD
- Title
- Medical Director
- Phone
- (678) 880-9990
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- K Loor Medical LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
4030 Lawrenceville Hwy NW Ste 9
Lilburn, GA 30047-2823
Mailing address
1825 Mountain Lake Dr NW
Kennesaw, GA 30152-7734
Other names
- BARRY MEDICAL CLINIC
Other providers in Lilburn, GA
- Anne Florence Bakinde
- Sofina Bali
- Gina Baptiste
- Michael R Barnett
- Janet Marie Barr
- Patrice Leonie Basanta-Henry
- Halima Ali Bashir
- Niroj Basnet
- Marcia B Bassett
- Reneeta Basu
All providers in Lilburn, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.