1831980382 NPI number — BARBARAKARES OF WEST GEORGIA INC

Table of content: MARIA CONCEPCION D. VIRAY (NPI 1316209638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831980382 NPI number — BARBARAKARES OF WEST GEORGIA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARBARAKARES OF WEST GEORGIA INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831980382
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1275 TWIN PINE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILLEDGEVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31061-4231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
478-234-0070
Provider Business Mailing Address Fax Number:
478-387-4404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1275 TWIN PINE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLEDGEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31061-4231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-234-0070
Provider Business Practice Location Address Fax Number:
478-387-4404
Provider Enumeration Date:
05/14/2025

Additional Information

Authorized Official

Authorized Official Last Name:
FLOURNOY
Authorized Official First Name:
JOSHUA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
478-234-0070

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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