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MR. CHANCEY PERICO BARNES NURSE PRACTITIONER
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1144275876
Individual Registrant:MR. CHANCEY PERICO BARNES NURSE PRACTITIONER
Gender: M
Gender: M
Location and contact information for practice:
2400 HOSPITAL RD TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550 Fax: --
Tel: 334-727-0550 Fax: --
Contact information for business:
55 TRILLIUM CT WETUMPKA, AL 36092-7485 US
Tel: 334-514-6090 Fax: --
Tel: 334-514-6090 Fax: --
Registration Information:
NPI: 1144275876
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AL | 1-046719 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
