Provider Demographics
NPI:1609946748
Name:ROBERT M. BARNETT, III, MD
Entity type:Organization
Organization Name:ROBERT M. BARNETT, III, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:423-495-2600
Mailing Address - Street 1:721 GLENWOOD DR
Mailing Address - Street 2:SUITE W460
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1106
Mailing Address - Country:US
Mailing Address - Phone:423-495-2600
Mailing Address - Fax:423-495-7887
Practice Address - Street 1:721 GLENWOOD DR
Practice Address - Street 2:SUITE W460
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1106
Practice Address - Country:US
Practice Address - Phone:423-495-2600
Practice Address - Fax:423-495-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9989208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty