Provider Demographics
NPI:1447257167
Name:BARLOW, JOHN MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARTIN
Last Name:BARLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9 RICHLAND MEDICAL PARK DR
Mailing Address - Street 2:STE 510
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6859
Mailing Address - Country:US
Mailing Address - Phone:803-256-2483
Mailing Address - Fax:803-748-1710
Practice Address - Street 1:9 RICHLAND MEDICAL PARK DR
Practice Address - Street 2:STE 510
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6859
Practice Address - Country:US
Practice Address - Phone:803-256-2483
Practice Address - Fax:803-748-1710
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-19022207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1382OtherMEDICAID PTAN
KSB68650Medicare UPIN
SC1305Medicare PIN