His Fruit Llc | |
1921 Manhattan Pkwy, Decatur, GA 30035-2244 | |
(404) 317-5329 | |
Not Available |
Full Name | His Fruit Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 1921 Manhattan Pkwy, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447994322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Shonna Barkley |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1689139651 PECOS PAC ID: 4789062647 Enrollment ID: I20220606000246 |
Mailing Address | Practice Location Address |
---|---|
His Fruit Llc 1921 Manhattan Pkwy, Decatur, GA 30035-2244 Ph: (404) 317-5329 | His Fruit Llc 1921 Manhattan Pkwy, Decatur, GA 30035-2244 Ph: (404) 317-5329 |
Cheryl Steep, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2165 N Decatur Rd, Decatur, GA 30033 Phone: 678-908-0688 | |
Phyllis Ann Gatewood, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Kristen Narlow, RD, LD, CC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2165 N Decatur Rd, Decatur, GA 30033 Phone: 404-778-8561 Fax: 404-778-8562 | |
Valorie Lynnette Sherrill, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Laurel Channell Gunnells, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-508-7957 Fax: 404-508-7752 | |
Ms. Betty Joyce Sellers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Ms. Marisa Isabel Mendes, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 |