Provider Demographics
NPI:1215930417
Name:BARFIELD, RAYMOND C (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:C
Last Name:BARFIELD
Suffix:
Gender:M
Credentials:MD
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 STE 507
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:912-350-4752
Mailing Address - Fax:
Practice Address - Street 1:4700 WATERS AVE STE 507
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:912-350-4752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN320302080P0207X
NC2008-013132080P0207X
GA39043207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200035470AMedicaid
TN5440212Medicaid
VA010170231Medicaid
MO204753313Medicaid
TX174369201Medicaid
KS200335860AMedicaid
AL009932324Medicaid
ME422400000Medicaid
MS03105248Medicaid
IN200093280AMedicaid
KY64085566Medicaid
MI104763277Medicaid
AR139014001Medicaid
MO204753313Medicaid
AL009932324Medicaid