Provider Demographics
NPI:1841418068
Name:BARRINGER, NICHOLAS (RD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:BARRINGER
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 MILGEN RD APT 1159
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-7575
Mailing Address - Country:US
Mailing Address - Phone:254-702-2772
Mailing Address - Fax:
Practice Address - Street 1:MARTIN ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:7950 MARTIN LOON
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-5637
Practice Address - Country:US
Practice Address - Phone:706-544-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07537133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN