Ivorine Barnes, MS RD
Individual provider Active NPI Registered Dietitian · Douglasville, GA
NPI 1184920522 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1184920522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD003027 (GA)
- Practice address
- 2412 Wilshire Way
Douglasville, GA 30135 - Phone
- (678) 401-4771
- Fax
- (678) 401-4771
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD003027 | GA | Yes |
Addresses
Primary practice location
2412 Wilshire Way
Douglasville, GA 30135
Mailing address
2412 Wilshire Way
Douglasville, GA 30135-8129
Phone (678) 401-4771
Other providers in Douglasville, GA
- Shahagony Banks
- Stephanie Banks
- Bhumika Banugaria
- Andrew Paul Barak
- Keturah Barnard
- Walida S Barr
- Laurel Ann Barras
- Patricia Annette Barrett
- Natasha Barrow
- Dingane Baruti
All providers in Douglasville, GA · Registered Dietitian in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.