Provider Demographics
NPI:1528350949
Name:BARBER, MARIE K (PHD, MPH, RD, LDN,CR)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:K
Last Name:BARBER
Suffix:
Gender:F
Credentials:PHD, MPH, RD, LDN,CR
Other - Prefix:DR
Other - First Name:MARIE
Other - Middle Name:K
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3505 OLD CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3614
Mailing Address - Country:US
Mailing Address - Phone:919-358-9211
Mailing Address - Fax:
Practice Address - Street 1:3505 OLD CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3614
Practice Address - Country:US
Practice Address - Phone:919-358-9211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC860361133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered