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NPI Code Detail

MEDICARE: CARLI BARBO

MEDICARE: CARLI BARBO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianLD004998GA

General Provider Information

NPI Number : 1447766852
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLI BARBO
Provider Business Mailing Address
First Line : 30 ALEXANDER CT
Second Line :
City : COVINGTON
State : GA
Zip : 30016-7287
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1595 CLEVELAND AVE
Second Line :
City : EAST POINT
State : GA
Zip : 30344-3200
Country : US
Telephone Number : 404-616-2886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2017
Last Update Date : 12/20/2017

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Directions to “ CARLI BARBO ” Practice Location

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