Provider Demographics
NPI:1871652073
Name:BARROWS, JAMES R (PA-C)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:BARROWS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6220
Mailing Address - Country:US
Mailing Address - Phone:912-350-2155
Mailing Address - Fax:912-350-2156
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-350-2155
Practice Address - Fax:912-350-2156
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001949363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00980790OtherRAILROAD MEDICARE
SC1253PAMedicaid
GA635427OtherWELLCARE
01472499OtherAMERIGROUP
GA003113301AMedicaid
GAP00980790OtherRAILROAD MEDICARE