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MR. CHANCEY PERICO BARNES NURSE PRACTITIONER

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1144275876

Individual Registrant:
MR. CHANCEY PERICO BARNES NURSE PRACTITIONER
Gender: M

Location and contact information for practice:
2400 HOSPITAL RD  TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: --

Contact information for business:
55 TRILLIUM CT  WETUMPKA, AL 36092-7485 US
Tel: 334-514-6090  Fax: --

Registration Information:
NPI: 1144275876
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-046719

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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