Provider Demographics
NPI:1992373146
Name:MCINTIRE, BAILEY JOYNER (MS, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:JOYNER
Last Name:MCINTIRE
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:JOYNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5610 GLENRIDGE DR APT 402
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1399
Mailing Address - Country:US
Mailing Address - Phone:478-919-6024
Mailing Address - Fax:
Practice Address - Street 1:1400 TULLIE RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2309
Practice Address - Country:US
Practice Address - Phone:404-785-1535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered