Provider Demographics
NPI:1750391470
Name:D'ORIO, BARBARA MARIE (MD, MPA)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARIE
Last Name:D'ORIO
Suffix:
Gender:F
Credentials:MD, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1387 SANDY CROSS RD
Mailing Address - Street 2:
Mailing Address - City:COMER
Mailing Address - State:GA
Mailing Address - Zip Code:30629-6231
Mailing Address - Country:US
Mailing Address - Phone:678-358-2209
Mailing Address - Fax:706-808-6408
Practice Address - Street 1:1360 CADUCEUS WAY
Practice Address - Street 2:BLDG 400, STE 102
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-7300
Practice Address - Country:US
Practice Address - Phone:706-286-8442
Practice Address - Fax:706-286-8442
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0339562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0054240743Medicaid
GA0054240743Medicaid
GA26BDCTPMedicare ID - Type Unspecified