Carmen L Bates, LD
Individual provider Active NPI Registered Dietitian · Lawrenceville, GA
NPI 1669535209 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669535209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD001396 (GA)
- Practice address
- 2570 Riverside Pkwy
Lawrenceville, GA 30046-0897 - Phone
- (770) 339-4260
- NPI assigned
- Dec 18, 2006
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD001396 | GA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD001396 | GA | Yes |
Addresses
Primary practice location
2570 Riverside Pkwy
Lawrenceville, GA 30046-0897
Mailing address
PO Box 897
Lawrenceville, GA 30046-0897
Phone (678) 442-6880
Other providers in Lawrenceville, GA
- Sarah Maria Bassett
- Malgorzata Bastia
- Miranda Basto
- Keith Bate
- Bates & Associates, Inc.
- Mika Lea Bates
- Zachary Linn Bates
- Victoria Elizabeth Batterton
- Demetrius Battle
- Marie Louise Baudean
All providers in Lawrenceville, 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 Jul 8, 2007. 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.