Provider Demographics
NPI:1710109491
Name:BARRINGER, VIRGINIA (MS RD LDN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:BARRINGER
Suffix:
Gender:F
Credentials:MS RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-7076
Mailing Address - Fax:336-277-7722
Practice Address - Street 1:125 BALDWIN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-3364
Practice Address - Country:US
Practice Address - Phone:704-316-3727
Practice Address - Fax:704-384-8895
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001802133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2994916Medicare PIN
NC2994916CMedicare PIN
NC2994916AMedicare PIN
NC2994916BMedicare PIN