Carli Barbo

Individual provider Active NPI Registered Dietitian · East Point, GA

NPI 1447766852 · NPPES record last updated Dec 20, 2017

Key facts

NPI
1447766852
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LD004998 (GA)
Practice address
1595 Cleveland Ave
East Point, GA 30344-3200
Phone
(404) 616-2886
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LD004998GAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD004998 GA Yes

Addresses

Primary practice location

1595 Cleveland Ave
East Point, GA 30344-3200

Mailing address

30 Alexander CT
Covington, GA 30016-7287

Other providers in East Point, GA

All providers in East Point, GA · Registered Dietitian in Georgia

Sources for this page

Verify at the official NPI Registry.