Individual
MS. IVORINE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
2412 WILSHIRE WAY, DOUGLASVILLE, GA 30135
(678) 401-4771
(678) 401-4771
Mailing address
2412 WILSHIRE WAY, DOUGLASVILLE, GA 30135-8129
(678) 401-4771
(678) 401-4771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003027
GA
Other
Enumeration date
02/02/2011
Last updated
02/18/2016
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