Provider Demographics
NPI:1306887310
Name:BARYLSKA, BARBARA W (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:W
Last Name:BARYLSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:WANDA
Other - Last Name:BARYLSKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1807 HONEY CREEK COMMONS
Mailing Address - Street 2:STE B
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013
Mailing Address - Country:US
Mailing Address - Phone:770-761-0672
Mailing Address - Fax:770-761-0784
Practice Address - Street 1:1807 HONEY CREEK COMMONS
Practice Address - Street 2:STE B
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013
Practice Address - Country:US
Practice Address - Phone:770-761-0672
Practice Address - Fax:770-761-0784
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031558208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E97140Medicare UPIN