Provider Demographics
NPI:1295201614
Name:SENERI, BARRY WAYNE JR (CN)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:WAYNE
Last Name:SENERI
Suffix:JR
Gender:M
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13124 SIX FORKS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8103
Mailing Address - Country:US
Mailing Address - Phone:919-671-9048
Mailing Address - Fax:
Practice Address - Street 1:3607 FALLS RIVER AVE STE 111
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-7365
Practice Address - Country:US
Practice Address - Phone:919-671-9048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty