Jeff Barwick
Individual provider Active NPI Pharmacist · Centerville, GA
NPI 1760079206 · NPPES record last updated Dec 30, 2020
Key facts
- NPI
- 1760079206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH017560 (GA)
- Practice address
- 104 Crestwood CT
Centerville, GA 31028-1411 - Phone
- (478) 290-7244
- NPI assigned
- Dec 30, 2020
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH017560 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH017560 | GA | Yes |
Addresses
Primary practice location
104 Crestwood CT
Centerville, GA 31028-1411
Mailing address
104 Crestwood CT
Centerville, GA 31028-1411
Phone (478) 290-7244
Other providers in Centerville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2020. 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.