Christina Marie Barta, IDMT

Individual provider Active NPI Independent Duty Medical Technicians · Lakeland, GA

NPI 1639480809 · NPPES record last updated Jun 23, 2010

Key facts

NPI
1639480809
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Medical Technicians 1710I1003X
Practice address
79 Live Oak TRL
Lakeland, GA 31635-5813
Phone
(940) 257-7780
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X Yes

Addresses

Primary practice location

79 Live Oak TRL
Lakeland, GA 31635-5813

Mailing address

79 Live Oak TRL
Lakeland, GA 31635-5813
Phone (940) 257-7780

Other providers in Lakeland, GA

All providers in Lakeland, GA · Independent Duty Medical Technicians in Georgia

Sources for this page

Verify at the official NPI Registry.