Basic Information
Provider Information
NPI: 1932366077
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBER
FirstName: SYNA
MiddleName: NMN
NamePrefix: MRS.
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1801 WESTCHESTER DR
Address2:  
City: HIGH POINT
State: NC
PostalCode: 272627009
CountryCode: US
TelephoneNumber: 8888497379
FaxNumber: 8558577333
Practice Location
Address1: 380 KNOLLWOOD ST # 505
Address2:  
City: WINSTON SALEM
State: NC
PostalCode: 271031884
CountryCode: US
TelephoneNumber: 8333572966
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/16/2008
LastUpdateDate: 10/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600X600054NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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